Dr. Jiten Chowdhry

Hi. Your issue is more to do with being 76 kgs at 27 years of age. Ovulation at day 20 can mean poly cystic ovaries. So before going for ovulation induction you will need to lose atleast 10 to 12 kgs of weight more thro exercises than excessive diet regimen. You will see that your cycles get regularized with the help of drugs for PCO with workouts and may then conceive naturally if your husband's conditions are all favorable. Best wishes.

Use of stimulant decreases the symptoms to a much good effect and if we don't give stimulant medication There will be more of conduct disorder and progress in disease and for side effects we have to monitor the person and advice them accordingly And spine block injection is effective for six months

Lybrate-user ji, Thanks for the query. It is necessary for you to bring down TSH level to around 2 mU/L if you are desiring to go for pregnancy. Since the TSH level is not mentioned it is difficult to comment. Through the gestation period TSH should be around 2 mU/L only. Otherwise fetal development and outcome of pregnancy will be affected. Secondly it is better if you try and reduce weight by at least 5% of present. Your ideal body weight should be around 55 kgs. Thanks.

you will have to take thyroxine tablets regularly, dosage will depend on your weight and tsh levels. The treatment is for life time.

Hi lybrate-user I hope you are taking healthy balanced diet Try to follow 5 to 6 small and frequent meals pattern consume more complex carbohydrates. Protein n fibre rich food Avoid soft drinks, packate and preserved food, cakes.ice creams. Sweets and fried stuff. Incorporate fruits and salad daily in your food intake. Avoid long gaps in-between your meals. Physical activity in any form for at least 45 min is essential. Avoid potatoes, sweet potatoes, arbi,suran, sabudana,raw bananas in vegetables. Don't lose hopes till you achieve your goal. All the best if you wish to go for a healthy balanced weight loss diet plan can contact me through Lybrate.

You need complete evaluation regarding your thyroid. It can possibly due to hypothroidism. In that case you need to be on medication.

Umbilical hernia will need surgery. Hernia is basically a gap in your muscles which needs to be closed with sutures and placing a mesh to avoid recurrent hernia. You can go for open or laparoscopic surgery. This cost seems appropriate for an open hernia repair. Laparoscopy will cost a bit more as mesh and equipment cost is more. The surgery can be covered in insurance if you have.

Yes, this could well be piles or a fissure. Anal fissure improves with general measures but may require surgery. Piles of an early grade also improves with general measures. The general measures I would suggest are 1. Take lot of vegetables & fruits in your diet 2. Avoid chillies & spices 3. Take lot of fluids 4. Avoid constipation 5 periodically do anal exercises (alternately contracting & relaxing the buttocks, anal area & upper thighs) 6. Take sitz bath 3-4 times a day. This means sitting in a tub of warm water & doing anal exercises 7. Atleast once get it examined by a general surgeon.

Dear Lybrate User, you may have come across a number of gimmicking advertisement of medicines which claim to decrease body weight in a very short time. Don’t fall prey for such advertisement because the excess weight would not be shredded until each & every underlying cause of being overweight is diagnosed & treated. Normally 1 kg of fat occupies thrice the volume than that of 1 kg of muscle. That’s why accumulation of fat makes a person so bulky whereas body-builders have a shredded physique although most of the body-builders are overweight according to the BMI index. So it is evident that to lose the excess weight you have to get rid of the excess fat in your body. Now the basic role behind the process of accumulation of fat in human body is played by Metabolism. Metabolism is the set of life-sustaining chemical transformations within the cells of living organisms. The three main purposes of metabolism are the conversion of food/fuel to energy to run cellular processes, the conversion of food/fuel to building blocks for proteins, lipids, nucleic acids, and some carbohydrates, and the elimination of nitrogenous wastes. In order to lose the excess fat you need to increase your rate of metabolism. First of all you need to rule out the possibility of the presence of any hormonal disturbance that may be affecting your sister's metabolism. Just conduct a total Thyroid profile test of all her blood. If the reports are within normal limits then she should proceed further to increase your metabolism. If you find any abnormalities in the report you should immediately consult a doctor.

Please continue Thyronorm 100 mcg because your TSH report of 4.5 is borderline you shouldn't reduce it .my concern please check if you are using medicine in right way. It should be consumed in empty stomach. Rozavel F should be continued. Because according to newer studies we need to take statin regardless of lipid profile is you are having ASCVD risk factors.