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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.
More about Dr. Shaival Chandalia
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.

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Bhatia Hospital

Grant Road West Station, Tardeo Road. Landmark: Near Union Bank & Near Swati Restaurant, MumbaiMumbai Get Directions
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Bhatia Hospital

Grant Road West Landmark : Near Mathru MandirMumbai Get Directions
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My parathyroid hormones level is 172.8 what is the solution? Feeling problem in breathing. Please advise.

C.S.C, D.C.H, M.B.B.S
General Physician,
A higher-than-normal level may occur with: Disorders that increase phosphate or phosphorous levels in the blood, such as chronic kidney disease Failure of the body to respond to PTH (pseudohypoparathyroidism) Lack of calcium, which may be due to not eating enough calcium, not absorbing calcium in the gut, or losing too much calcium in your urine Pregnancy or breastfeeding (uncommon) Swelling in the parathyroid glands, called primary hyperparathyroidism Tumors in the parathyroid gland, called adenomas Vitamin D disorders, including not enough sunlight in older adults and problems absorbing, breaking down, and using vitamin D in the body. Parathyroid crisis must be treated quickly by replacing lost body fluids and removing the overactive parathyroid tissue. Blood tests — Hyperparathyroidism is diagnosed based upon levels of blood calcium and parathyroid hormone (PTH). In most people with hyperparathyroidism, both levels are higher than normal. Medications to treat hyperparathyroidism include the following: Calcimimetics. A calcimimetic is a drug that mimics calcium circulating in the blood. The drug may trick the parathyroid glands into releasing less parathyroid hormone. This drug is sold as cinacalcet (Sensipar).
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Hi sir, I am 42 year old male diagnosed hypothyroid. What precaution should I take?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Take diet for hypothyroidism:- 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 few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and reduce weight also.
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What are easily available low glycemic foods in India? The kind of foods that keep blood sugar level nearly stable for few hours, hence helping in staying energetic and motivated? Thanks in advance.

Diploma in Diabetology, MBBS
General Physician, Amritsar
Good question, in fruit category gauva, jamun, green apple, in salad raddish, tommoto, cuccumber, in cooked food mossi roti, stuffed roti with palk, mooli methi, boiled eggs without yellow part, black channas are food of relatively low glycemic index.
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I am 42 years male, suffering from border line sugar problem, f 147 & pp 174 from last one year, I am not taking medicine for it. What I should do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
You are pre diabetic. Adopt a strict life style change and can avoid progression to diabetes. Bmi must be 24 kg per sq meter. Waist <90 cms, daily 1 h plus exercise, no sweets, no deep fried foods and no smoking and alcohol.
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How to decrease sugar level what are the food we must take. How to control please reply.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi if one has diabetes, then first thing is to start treatment with appropriate drugs, which may be oral anti diabetics or insulin or both together depending on the need and severity of blood sugar levels. Then the person has to take restricted but balanced diet, that provides exact amount of calories based on ideal body weight, blood sugar levels and extent of daily exercise. Plus daily one hour exercise is also a must. As regards the foods to be avoided: - avoid sweets, deep fried foods, junk foods, pastries, high fat milk products, highly processed food products, sweetened aerated drinks and fructose corn syrup containing products. Consume more of green leafy vegetables. Salads, permitted fruits (about 100 g a day). Use whole grain products avoid refined flour like maida. Refrain from alcohol and smoking. In other words adapt a modified life style.
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What are symptom or sos message by body that one has diabetic or hypertension problems?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Khagaria
these diseases may not give any sos message.esp hypetension is known as silent killer. in diabetes the following symptoms may occur 1. dry mouth 2.increased frequency of urination. 3. increased thirst.
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Hello how to detect if having diabetes. .wht kind of test needed to detect it. I'm having upper n mid back pain in right side since last year .cause still nt clear. Movement I can do any activity I can do. When sitting in chair or in something hard surface dat area painful. Pain sometime less sometime intense. Ntg helping me can it's something else cause of dis pain. I hv insulin resistance.

PG Certificate (Sports), Bachelor of Physiotherapy
Physiotherapist, Ghaziabad
Dear lybrate-user, for diabetes get hba1c blood test done. And also get your vit d3 levels checked. You may have muscular weakness as the cause of your pain.
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Sir, my random sugar count is 130 and after food is 260. What medication should I follow. Currently I have been taking glyciphage g2 with voglibose. 2mg twice a day. Kindly advise me.

DNB (General Medicine)
General Physician, Pune
Hi, presently you are on triple drug therapy with optimal dose of each medicine. As your sugar after food is 260 it seems that more tighter control of blood glucose levels is needed the exact blood glucose for you may differ according to your age and associated comorbidities. But before increasing your medicines it is necessary to know whether you are taking present medications in correct timings voglibose has to be taken 15 to 20 minutes before food along with medications exercise and diet control will help a lot exercise will reduce overall medicines requirements by decreasing insulin resistance and small but frequent diet will not allow blood glucose to rise up too high!
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I am hypothyroid patient so kindly advise me of weight loss some domestic treatment & any advised?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am sure you are on thyroxine tablets to replace the hormone. This treatment will help you to control weight. However, physical exercise is equally important, you need to walk for more than 1 h a day. Avoid high fat diet, too much of sweets. Take iodinated salt. Avoid soya products, cabbage, cauliflower, broccoli, mustard and coffee.
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Im a diabetes person and willing to play tennis in state level tournaments and my age is still 22 in 2014 march I was diagnosed with diabetes is it possible to me to play tennis as my passion? And Im loosing my weight, I want to gain body mass also and how to gain it?

MBBS, PG in Family Medicine, FDRC (2 years full time Fellowship in Diabetes)
Endocrinologist, Surat
You can play state or even international level tennis. Please focus on control of sugar and once it is done, body will itself maintain its desired weight. Please get in touch with a Diabetologist ASAP Regards,
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I am 40 years old diabetic patient from 8 years, last 1 year I also have high pressure and my last reading was 138/88, now please tell me how to control my blood pressure with healthy diet? Also give diet chart?

C.S.C, D.C.H, M.B.B.S
General Physician,
For BP you need tablets and healthy lifestyle like exercise and less salt. Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult 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), & HbA1C (inform me) 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. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness 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 with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil)2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.
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Hello doctor, I'm 39 years old married lady, I have lots of problem due to hormonal problem, pcod ovaries, hypothyroidism, ANA & DNA, R Factor positive. After 2 miscarriage I am not getting pregnant. please help me. My hypothyroidism is under control. But ana positive & pcod syndrome is not controlled. Suggest what can I do? I am taking thyronoms 75mg, mcbm 69, calcirol & ecospirin 75.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
take iodine -rich meals, banana, intake at least 8 glass of water in day. eat more fiber rich foods, coconut oil, green tea, tyrosine -rich foods, low fat milk, avoid soya - products, go for walk daily, do exercises---yoga. It can reduced over weight. send your reports for best treatment.
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I am 60 year old male and I am having scratchy, scaling skin problem for the last one yr. My tsh (ultrasensitive tsh, serum) is 5.1108 and uric acid level is 7.27. Presently I am on medication for itching - alerfix-m once daily at night. Please help.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
For temporary relief of itching, try these self-care measures: use a high-quality moisturizing cream on your skin. Apply an anti-itch cream or lotion to the affected area as prescribed by me avoid scratching whenever possible. Apply cool, wet compresses. Take a lukewarm bath. Wear smooth-textured, loose cotton clothing. Do reply back for private consultation for a detailed treatment plan which will cure your itching problem.
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I have sugar last three years and have seen almost all hospitals but I could not over it what should I do.

MBBS
General Physician, Cuttack
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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I am 41 years and have uric acid and knee pain. What treatment you suggest for the same?

MBBS
General Physician, Cuttack
1. Avoid protein rich diets like mutton egg, fish, mushrooms, sea foods, cauli flower, spinach 2. Take fruits like apple, banana, orange, lime etc 3. Drink plenty of water 4. Avoid alcohol and caffeinated drinks 5. Monitor your serum uric acid 6.Take medicine after consulting physician
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My father is diabetic and hypertension patient 67 years old. Recently diagnosed with kidney level 2 failure and keratin level is 3.3. Prescribed with aminos. Please tell me natural ways to improve amino acids with fruits and vegetables.

BAMS, MD Ayurveda
Sexologist, Lonavala
You can go for following remedy it will help you 1. Remove the skin and seeds of 4-5 bitter gourds 2. Crush them to a make a paste 3. Press this paste on a sieve an extract the juice 4. Drink this juice on an empty stomach every morning causes: insulin is a hormone produced by the pancreas. It facilitates the movement of glucose from the blood to the liver, muscles and fat cells. This is very helpful.
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Dear Doctor, I am 41 years old & suffering allergy from dry cold flu & chock my nose during rainy seasons since 2013, I am taking regular medicine like Citrizine & other, after that feel some relaxation & after some week the same problems is occur. Hence please guide us some best medicine for permanent solution. I am having sugar disease too since last year 2014 & my details are as under, Fasting 95-105 PP after meal- 97-115 taking regular medicine in only morning time before breakfast GLYCIPHAGE (METFORMIN Hydro chloride I. P. 0.5 g as per Dr. Prescription. Now I want to tell you after take this medicine my head is light paining since some days. Please Guide us in the same too. Thanks & Regards.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
Regular cold sneezing episodes could could be due to dns (deviated nasal septum) ent opinion and examination required. Your sugar levels are quite well controlled and metformin is first line drug for type 2 diabetes. You should continue that. Take it after breakfast instead so gastric symptoms will be less. Check your hba1c level. Try to keep it near 6.5. It is more reliable test.
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I suffer from hypothyroid for the past 3 years. Recently I had a thyroid test done and myT3 has shot up to 800 from previous test of 52. My T4 and TSH are normal. What does this mean? Is it anything to be worried about.

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
Since your T4 and TSH are normal, and you are clinically feeling well, it is most likely that the T3 report is wrong. No need to worry. Avoid doing T3 on a routine basis. Just TSH is good enough 3-6 monthly for follow up of hypothyroidism.
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