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Dr. A. Gokani

Endocrinologist, Mumbai

Dr. A. Gokani Endocrinologist, Mumbai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. A. Gokani
Dr. A. Gokani is a popular Endocrinologist in Mumbai, Mumbai. You can meet Dr. A. Gokani personally at Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. A. Gokani on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 25 years of experience on Lybrate.com. You can find Endocrinologists online in Mumbai 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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I am suffering high sugar and I have suffering bp I want to know how to control it? Please suggest me what I do? Please help me.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I am suffering high sugar and I have suffering bp I want to know how to control it? Please suggest me what I do?
Plea...
Mr Maruti, To control diabetes mellitus and high BP one is you need to take appropriate medication, plus balanced and restricted diet that provides exact calories based on ideal body weight, sugar levels and extent of daily exercise. Plus exercise daily for at least 1 hour. For controlling BP you have to reduce salt intake and deep fried foods. If you are looking for specific guide lines then please come in a private conversation with details like fasting and PP sugar levels, HbA1c%, BP reading, dietary pattern and amount of exercise done daily. There I will be able to give specific suggestions.
2 people found this helpful

My question is thyroid how is created and what problems will come any information.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Mr Somashekar, Thyroid is the gland present in every one, it produces hormone thyroxine which is necessary from development of brain, plus all the important metabolic activities in the body. Deficiency of this hormone causes hypothyroidism and excess causes hyperthyroidism. Commonly seen problem is hypothyroidism. This causes weight gain, cold intolerance, swelling of face, and lower limbs, difficulty in speech, inability to concentrate, hair fall, dry skin, psychological problems. Replacement with thyroxine hormone is the only treatment.
44 people found this helpful

What is treatment for thyroid?

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist
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Thyroid is gland. There are no treatment of it. treatment is of thyroid dysfunction problem. kindly ask your question in specific manner

I am 32 years old I have been problem of my uric acid increase. Please advise.

MD - Internal Medicine, MBBS
Endocrinologist
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uric acid causes 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, dried peas, 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.

My father is a sugar patient and suffering from fever from last 4 6 days . He is having pain in his body and more in knees and now he done his blood test and according to report he is now suffering from typhoid also and sugar is also high . So no please tell me what should I gave him in his diet.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist
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My father is a sugar patient and suffering from fever from last 4 6 days . He is having pain in his body and more in ...
Give him simple bland diet as long as fever is there. Avoid sugar, junk food, fried food and fruit juices.

But for diabetic patient is this advisable? As I am 47 year old k/c/o Rheumatoid arthritis and Diabetic, taking meantime tab half twice. And also please advice me as I want to reduce my weight and belly fatt, I am 5 feet 2 inches in height and 56-57 kg kilo. Also on RA treatment.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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But for diabetic patient is this advisable?
As I am 47 year old k/c/o Rheumatoid arthritis and Diabetic, taking meant...
lybrate-user, Looking at your weight and height, your BMI is 22.98 kgs/M2, which absolutely fine. However, if belly fat is there, that can be reduced by aerobic exercise and abdominal exercise and also by swimming. There is no mention about blood glucose levels or HbA1c%, so I have no idea about how well is diabetes controlled. As regards treatment of RA affecting the diabetes, it depends on what drugs are being given. Thanks.

Hi, I am 24 years old and 68 kgs. I am having thyroid problem becoz of this I am gaining weight. I couldn't wake up in the morning Can you suggest me how to avoid sleep in the morning so that I can do exercise in the morning

MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist
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Hi, I am 24 years old and 68 kgs. I am having thyroid problem becoz of this I am gaining weight. I couldn't wake up i...
Don't test in the afternoon. Exercise atleast for 40 minutes in the evening/cardio/weights. This will tire you out Go to bed by 10.30 to 11pm Wake up in the morning by 6 pm. 7 hrs complete sleep. Exercise in the morning  am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements.  Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption.  Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise.  You will start  Better as the levels of your hormone normalises.  Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest Hope this helps.
1 person found this helpful

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
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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. 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.
1 person found this helpful

My wife is 5 weeks pregnant and just found out he has thyroid levels more than 100 TSH. She took her first 100 mg Thyronorm medication starting today with empty stomach. Will there be a problem for the baby. We took an appointment. She took her first 100 mg Thyronorm medication starting today with empty stomach. Will there be a problem for the baby. We took an apppointment with Endocrinologist today evening. Will there be any complications with baby's physical or mental growth. Can thyroid values be sustained to normal by regular medication and can we expect a healthy baby? Please guide us. Regards.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist
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My wife is 5 weeks pregnant and just found out he has thyroid levels more than 100 TSH. She took her first 100 mg Thy...
It takes a little while for the thyroid to stabilise to normal after treatment. She shd take medicine everyday in empty stomach and repeat test aftr 2 months, ofcourse you can hope for a normal baby and pregnancy once thyroid is in control.

My uncle suffers from pain in his knees when he uses stairs due to increase in his uric acid. What can he do to decrease the pain? Can he be relieved permanently from the pain?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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My uncle suffers from pain in his knees when he uses stairs due to increase in his uric acid. What can he do to decre...
Pain in the knee joints can be due to multiple reasons. One of the common condition is age related arthritis known as osteoarthritis, that affects the cartilage covering the bones and helps in smooth movement. This is a condition occurring due to wear and tear of the cartilage. Increasing uric acid in the blood invariably affects smaller joints like great toe and other smaller joints. Have got the uric acid level checked? is it high? joint pain can be relieved by pain killers or antiinflammatory drugs. Plus weight control and life style management is also helpful. For reducing uric acid levels there are drugs available as well as there is a need to avoid purine rich foods like organ meet, alcohol, chicken, sweetened drinks, certain fishes etc.
8 people found this helpful

What we should consider the healthy diet for the diabetes patients and what should they eat in the morning, afternoon, and in the night time. Give me the perfect time table of the diet for the diabetes patients.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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What we should consider the healthy diet for the diabetes patients and what should they eat in the morning, afternoon...
Yooji, diet for a diabetes patient is very individualised and specific. It is based on ideal body weight, sugar levels and extent of daily exercises. So unless all the details are given no diet can be prescribed. I need to know fasting and pp sugar levels, hba1c%, dietary pattern lipid profile, extent of daily exercise. It is better if you come in a private conversation with all the details, where I can give a specific plan.

Doctor sir I am faruk bhai my problem was diabetes so doctor what is the treatment of diabetes to daily basses replay me doctor what can I do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Doctor sir I am faruk bhai my problem was diabetes so doctor what is the treatment of diabetes to daily basses replay...
Dear Lybrate User, *Firstly you take your food with 2 to 3 hr intervals, devided into 3 main meals and 3 small meals. Main meals should consist of 1/4 portion of protein and 1/4 portion of carbohydrates and 2 portion of vegetables more or less at the same time of the day to make your biological clock perfect. Avoid high calorie food such as fried things, mango, banana, sapota, juices, sweets. Secondly do regular exercise, yoga or walk. Thirdly always take your medicine in time as advised by your doctor. Keep your self hydrated and take enough sleep.
1 person found this helpful

I am a 19 year old girl and I had sex a month back. We used condoms and to be sure I took i-pill as well .an within 9 days after having sex I got my period .but this month my period has not yet happened. Its late by ten days .is there any chance I am pregnant ? I suffer from thyroid as well and I have missed many a times before so could it be because of my high TSH level?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist
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I am a 19 year old girl and I had sex a month back. We used condoms and to be sure I took i-pill as well .an within 9...
Hi lybrate-user delayed period could be because of hormonal imbalance that is due to deranged thyroid levels. Please get a urine pregnancy test to rule out pregnancy. Mostly it would be negative only as you used double protection.

Please suggest the Diet for diabetes.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist
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There is no such thing as a" diet for diabetes. It depends on your age, work, life style, tastes, availability, blood sugars, other conditions, etc etc. Talk to your diabetologist & plan the diet best suited to you.
1 person found this helpful

I am suffering from hypo-thyroid. please advice?

MD - Internal Medicine, MBBS
Endocrinologist
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I am suffering from hypo-thyroid. please advice?
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,

Im suffering from gastric problem and acidity. What precautions should I have to take? Im 45 year old man. I have no sugar and heartattack.

MS - General Surgery, DNB Genitourinary Surgery
General Surgeon
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Im suffering from gastric problem and acidity. What precautions should I have to take? Im 45 year old man. I have no ...
you should undergo usg to rule out the causes of acidity. sorry frequent meals. avoid spicy food. avoid over eating. abstain from smoking and drinking .
3 people found this helpful

Hi I am 32 years old male, I am suffering from backache leg pain my uric acid level 7.9 give me treatment and exercise. Please help

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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Hi I am 32 years old male, I am suffering from backache leg pain my uric acid level 7.9 give me treatment and exercis...
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.

I am suffering from execive hunger. After taken meal . Again feel hunger after 30 minutes of meal. I am totally confused. .what the cause? ? I am 25 years old newly married women. .pleas tell me the cause of hunger. .except diabetes. .family history of diabetes is none. .

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist
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I am suffering from execive hunger. After taken meal . Again feel hunger after 30 minutes of meal. I am totally confu...
Excessive hunger, in a woman of your age, is usually seen with conditions like hyperthyroidism & diabetes mellitus. I suggest you rule out these two.
1 person found this helpful

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
General Physician
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Stress play an important role in rise in blood sugar level,can be controlled by Yoga,Meditation&Exercise.
1 person found this helpful
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