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Dr. Shaival Chandalia

Endocrinologist, Mumbai

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Dr. Shaival Chandalia Endocrinologist, Mumbai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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Dr. Shaival Chandalia is an experienced Endocrinologist in Tardeo, Mumbai. He is currently practising at Bhatia Hospital in Tardeo, Mumbai. Save your time and book an appointment online with Dr. Shaival Chandalia on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 43 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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Grant Road West Station, Tardeo Road. Landmark: Near Union Bank & Near Swati Restaurant, MumbaiMumbai Get Directions
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Grant Road West Landmark : Near Mathru MandirMumbai Get Directions
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I am 26 years old I got married before 10 months my wife had affected with thyroid before 1 month she take medicine regularly but how she get pregnant quickly please give possible suggestion. Help me.

MBBS, FCGP, DRM, FEBNM (Europe)
Nuclear Medicine Physician, Mumbai
Dear There is nothing to worry that your wife is suffering from thyroid disorder and now that she is pregnant. Consult a Thyroidologist with the latest blood reports and follow the Doctor?s opinion.
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Thyroid Dysfunction and Treatment

M.D.(A.M.), BAMS
General Physician, Gurgaon
Thyroid Dysfunction and Treatment

Your thyroid is a small, butterfly-shaped gland situated at the base of the front of your neck, just below your Adam's apple. Hormones produced by the thyroid gland do everything from maintaining your heart rate to regulating your body temperature to controlling your body weight. 

Millions of people worldwide suffer from thyroid dysfunction and several don't know about it. This is primarily because people don't tend to link the common symptoms first with a thyroid disease. Some people suffer from mood swings, trouble with memory, weight gain or fatigue, all of which they look upon individually as a problem and hence not piecing together the puzzle of their real medical condition. Here are a few insights that'll help you cope:

How does the thyroid gland work: About 85% of the hormone produced by our thyroid gland is T4, which is an inactive form of the hormone. After T4 is made, a small amount of is converted into T3, which is the active form of thyroid hormone. T3 is then converted to free T3 or reverse T3. It is the free T3 that forms the base of thyroid functions. 

What is hypothyroidism: Hypothyroidism, or an underactive thyroid, accounts for 90% of all thyroid imbalances. The signs and symptoms of hypothyroidism develop slowly, often over a number of years, which is why it is often missed from regular treatment charts. For instance, fatigue and weight gain are often attributed to stress, lifestyle changes and natural ageing process. But as time goes by, some of the symptoms show a higher level of manifestation like muscle weakness, elevated blood cholesterol, thinning hair, puffy face, hoarse voice and slowed heart rate. 

If left untreated, hypothyroidism may lead to goiter (enlarged thyroid), increased memory problems, low blood pressure, decreased breathing and in extreme cases, unresponsiveness and coma. 
This disease may also occur in newborns, infants and children. Symptoms include excessive sleepiness, poor muscle tone and constipation. It is important to diagnose and treat it early, as in severe cases it may lead to mental and / or physical retardation. In children and teens, it can result in stunted growth, and delayed puberty.

What is hyperthyroidism: It's the opposite of hypothyroidism, which means in this case the thyroid overproduces hormones. Common symptoms include lack of sleep, weakness, irregular heartbeat, elevated blood pressure and hand tremors. While genetics are partially responsible for it, it is also triggered by autoimmune disorder. Hyperthyroidism can be treated with medication, radioactive iodine (not the first or best choice as it harms white cells too) and surgery. Keeping a focus on your calcium and sodium intake is crucial to curb the disorder.

Treatments: Conventional treatments rely mainly on drugs and surgery. Alternative treatments involve diet and lifestyle changes. Taking multivitamins, going gluten free, getting a good night sleep, and reducing stress is all said to help heal your thyroid gradually.

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I am suffering from diabetics my fasting vareis from 100 to 140 please advice.

PGDD, RD
Dietitian/Nutritionist,
for a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - have small frequent meals. Do not fast for more than 2-3 hours. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Fruits should be had as a mid meal. Avoid junk foods. Exercise and stay active. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well. It's all a matter of discipline.
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I was on thyronorm from 2011. But during 2014 I lost my health badly. Thats why I visited cmc vellore in november. There I consulted hod of endocrinology who after thorough investigation advised me to stop thyronorm. I also consulted gastro and finding was gastritis mild. I was also found to be calcium, vitamin d3 and vitamin b12 deficient. For these problems I was prescribed neurobion forte, sandocal, calcirol granule, dimol 40, atenolol 50 (i am taking atenolol from last 10 years). I was really very very fine in all respects in last 7 months. I recovered my lost health also. I checked up my thyroid blood in the last part of march which showed tsh as 12.26 and ft4 as 0.84. Again on 1st june I tested blood which showed ft4 as 0.80 and tsh as 17.40 and again on 18/6/15 blood report showed ft4 as 0.84 and tsh as 24+. Then on advice from my physician I am on eltroxin 50 mcg. But for last few days I have been facing various troubles such as gaseous abdomen, burping with sounds, pain in cervical region and backside of head, too much drowsiness and frequent instability with mental agony. Are these happening due to thyroxin or wrong dose of thyroxin or for from abdominal disturbance? please note that I am having cervical spondyltsis and hypertension from last 10 years. As per doctor's advice I have taken a refiximin for 2 weeks in last part of november 2014. Regards.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I was on thyronorm from 2011. But during 2014 I lost my health badly. Thats why I visited cmc vellore in november. Th...
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 consut doctor on time.
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My diabetic found this on 15/08/16, can it be cured or it remains with me forever.

MBBS, CCEBDM
Diabetologist, Bangalore
My diabetic found this on 15/08/16, can it be cured or it remains with me forever.
Hi Diabetes cannot be cured. But you can lead a happy and healthy life by keeping your diabetes under control.
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My father has a diabetes so. Which type of diet should be taken.

3 months Internship of Dietitics/Nutrition, PG diploma in Dietitics/Nutrition, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
My father has a diabetes so. Which type of diet should be taken.
1st thing for mentain diabetes a regular healthy diet routine. You should start 8 to 10seeds of fenugreek in morning. High fibre diet. Low sugar. Low oil. Low starch. Etc.
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Health Quote of the Week

MD, MCH, BHMS
Homeopath, Pune
Health Quote of the Week

Alfala helps lower bad cholesterol and blood sugar levels.

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My age is 50 years now. I have been going for a 40 minute walk everyday in the morning for the last 1 month. I am feeling general weakness for the last 1 month. Is it time for me to go for a sugar test?

MBBS
General Physician, Faridabad
My age is 50 years now. I have been going for a 40 minute walk everyday in the morning for the last 1 month. I am fee...
no harm for sugar test, it is better, back with report, take tab multi vitamines, tab shellcal, green vegetable diet. it will help. welcome for further help.
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Iam suffered from diabetics & BP. Last few days and still i m suffered with cold. Headache too. Please give the right advice.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Iam suffered from diabetics & BP. Last few days and still i m suffered with  cold. Headache too. Please give the righ...
Mr Gopalkrishnan, If you are having diabetes and hypertension it necessary to get them effectively treated with appropriate drugs, diet control and exercise. Then routine problems like cold and headache can be conveniently handled. So please get both those conditions under control. That will help in reducing other problems better. If required you may take anticold remedies and pain killer.
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What type diabetes in human body and how to control this doses and what kind of simterms these doses.

DHMS (Hons.)
Homeopath, Patna
What type diabetes in human body and how to control this doses and what kind of simterms these doses.
Hello, * when pancreas fails to produce insulin, glucose level in blood increases, this condition is known as diabetes. Normal value in fasting is 60-110 mg/dl 2 hrs, after food 60-140 mg/dl to check diabetes one should follow the following norms * go for a walk in ghe morning/evening for an hr. * go for meditation for 45 mnts. * avoid, stress, anxiety, worry & depression. * maintain calori- value through diet 1200-1600. * take, digestible diet in time, avoiding junk food. All d best.
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Sir, have thyroid problem from past 10 years now I am using thyronorm tablets suggest me doctor for permanent treatment.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, If hypothyroidism is present then taking thyroxine (thyronorm) in adequate dosage is the only option. There is no other permanent treatment. You will have to continue taking that tablet for lifetime. If you have any specific doubts you are welcome to come in a private conversation. Thanks.
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Hi I am 35 years old male had been diagnosed with diabetes a year back and have been taking sitagliptin jenuvia 100 mg in morning before breakfast and glycomet forte 0.5 mg in night before dinner but still every morning my sugar levels are around 125-145 with all dietary precautions and walk of nearly 10 kms a day please advise some method to reduce levels especially in fasting without medicines or maybe some Ayurvedic way as I know in long run these medicines would have very bad effects on my health.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I am 35 years old male had been diagnosed with diabetes a year back and have been taking sitagliptin jenuvia 100 m...
the idea that anti diabetic medications cause long term bad side effects is itself wrong. There millions of patients on oral anti diabetic drugs, properly controlling blood sugar levels and living a good life. To my knowledge there are no drugs in other branches of medicine which have any action on insulin secretion or reducing sugar levels. As regards reducing the fasting levels you may have to give a re look at your diet and total calories consumed in a day. Or you may have to add another drug to control sugar level.
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Sir I am a diabetic patient for the last 30 years recently my sugar level in fasting was 140, and after meal 260. I am taking gp2 and janumet 50 *500, last year my portal vain was penchured and daughter give reason nash problem kindly advice me how to reduce my sugar level.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir I am a diabetic patient for the last 30 years recently my sugar level in fasting was 140, and after meal 260. I a...
Mr. Lybrate-user, it appears that present treatment of diabetes is not adequate. It needs to be upgraded. Some additional drugs may be required along with that there needs to be a properly planned diet that provides exact calories based on ideal body weight and extent of daily exercise as well as blood sugar level. Thanks.
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I am 63 years old and I have diabetese last 16 years, still I have not any problem connecting diabetese like kidney, heart ,etc, I walk in the morning for about 75 mints what I have to take care? any ayurvedic medicine suggestion on daily basis which cure me more with alophathic medicine.

M.D. Internal Medicine
Endocrinologist, Mumbai
I am 63 years old and I have diabetese last 16 years, still I have not any problem connecting diabetese like kidney, ...
There is so far no cure found for diabetes by either allopathic or ayurvedic remedies. Good to know that probably you are maintaining your hba1c reports below 7% so no diabetes related complications so far. Some times your today's uncontrolled dm may not trouble you today but after 10 years so always keep on looking for complications. Introducing fenugreek, seeds, flex seeds in yo in daily diet some times help in improving insulin secretion as they are rich in omega3 fatty acids but this benefit varies patient to patient. So you must continue allopathic medicine.
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Hi My age 49, i am suffering with sugar before food 167 after food 235. But i am suffering with angry why and I want present i am using geemer1mg tablet after food please send medicine name

BAMS
General Physician, Delhi
Get sugar levels checked fasting & pp of same day along with hbaic then medicines should be decided your medicines is suits you please do.
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I am a 50 year's old male suffering from diabetes and high blood pressure feeling low power during sex.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Kolkata
I am a 50 year's old male suffering from diabetes and high blood pressure feeling low power during sex.
Diabetes and high blood pressure both affected male sexual organs and also sexual desire. You can improved through yogas and balaced diet. Taken protein rich diet like milk, soyabean, green vegetables, razma, dal etc.
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BHMS, MD - Homeopathy
Homeopath, Chennai
9 Foods to Avoid With Hypothyroidism
What you eat can affect your thyroid gland as well as your body's ability to use thyroid hormone. Learn which foods to avoid when managing hypothyroidism.

Hypothyroidism can be a tricky condition to manage, and what you eat can interfere with your treatment. Some nutrients heavily influence the function of the thyroid gland, and certain foods can inhibit your body's ability to absorb the replacement hormones you may take as part of your thyroid treatment. There's no such thing as a "hypothyroidism diet" that will make you well, but eating smart can help you feel better despite the condition. Here are nine foods to limit or avoid as you manage hypothyroidism:

Soy
The hormone estrogen can interfere with your body's ability to use thyroid hormone, says Stephanie Lee, MD, PhD associate chief of endocrinology, nutrition, and diabetes at Boston Medical Center and an associate professor at the Boston University School of Medicine. Soy is loaded with plant-based phytoestrogen, and some researchers believe too much soy may increase a person's risk for hypothyroidism. People with hypothyroidism should moderate their intake of soy. However, because soy hasn't been definitively linked to hypothyroidism, there are no specific dietary guidelines.

Cruciferous Vegetables
Cruciferous vegetables, such as broccoli and cabbage, can interfere with the production of thyroid hormone, particularly people who have an iodine deficiency. Digesting these vegetables can block the thyroid's ability to absorb iodine, which is essential for normal thyroid function. People with hypothyroidism may want to limit their intake of broccoli, 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.

Gluten
People with hypothyroidism should consider minimizing their intake of gluten, a protein found in foods processed from wheat, barley, rye, and other grains, says Ruth Frechman, RDN, a dietitian and nutritionist in the Los Angeles area and a spokesperson for the Academy of Nutrition and Dietetics. Gluten can irritate the small intestine and may hamper absorption of thyroid hormone replacement medication.

Fatty Foods
Fats have been found to disrupt the body's ability to absorb thyroid hormone replacement medicines, Dr. Lee says. Fats may also interfere with the thyroid's ability to produce hormone as well. Some health care professionals recommend that you cut out all fried foods and reduce your intake of fats from sources such as butter, mayonnaise, margarine, and fatty cuts of meat.

Sugary Foods
Hypothyroidism can cause the body's metabolism to slow down, Frechman says. That means it's easy to put on pounds if you aren't careful. "You want to avoid the foods with excess amounts of sugar because it's a lot of calories with no nutrients," she says. It's best to reduce the amount of sugar you eat or try to eliminate it completely from your diet.

Processed Foods
"Processed foods tend to have a lot of sodium, and people with hypothyroidism should avoid sodium," Frechman says. Having an underactive thyroid increases a person's risk for high blood pressure, and too much sodium further increases this risk. Read the Nutrition Facts label on the packaging of processed foods to find options lowest in sodium. People with an increased risk for high blood pressure should restrict their sodium intake to 1,500 milligrams a day, according to the U.S. Centers for Disease Control and Prevention.

Excess Fiber
Getting enough fiber is good for you, but too much can complicate your hypothyroidism treatment. Guidelines currently recommend that older adults take in 20 to 35 grams of fiber a day. Amounts of dietary fiber from whole grains, vegetables, fruits, beans, and legumes that go above that level affect your digestive system and can interfere with absorption of thyroid hormone replacement drugs. If you're on a high-fiber diet, ask your doctor if you need a higher dose of thyroid medication. Your maintenance dose may need to be increased if you aren't absorbing enough medication.

Coffee
Caffeine has been found to block absorption of thyroid hormone replacement, Lee says. "People who were taking their thyroid medication with their morning coffee had uncontrollable thyroid levels, and we couldn't figure it out," she says. "I now have to be very careful to tell people, 'Only take your medication with water.'" You should wait at least 30 minutes after taking your medication before having a cup of joe.

Alcohol
Alcohol consumption can wreak havoc on both thyroid hormone levels in the body and the ability of the thyroid to produce hormone. Alcohol appears to have a toxic effect on the thyroid gland and suppresses the ability of the body to use thyroid hormone. Ideally, people with hypothyroidism should cut out alcohol completely or drink in careful moderation.

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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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