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Dr. Thomos Koshy

Endocrinologist, Mumbai

Dr. Thomos Koshy Endocrinologist, Mumbai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Thomos Koshy
Dr. Thomos Koshy is one of the best Endocrinologists in Mulund West, Mumbai. You can meet Dr. Thomos Koshy personally at Holy Trinity Hospital in Mulund West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Thomos Koshy on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 26 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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1st Floor, Heritage Building , J N Road,Mulund West, Landmark: Apna Bajar & Near Rymonds ShowRoom, MumbaiMumbai Get Directions
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Hi, I am a diabetic patient. And my age is 27. My blood glucose is un fasting 75 and pp 110. I want to known which type of food to ear and I known to in diabetic kinda and heart are also effect when in control.

PGDCC, MD-Physician
Cardiologist, Jaipur
Hi, I am a diabetic patient. And my age is 27. My blood glucose is un fasting 75 and pp 110. I want to known which ty...
Hello. It is very important for you to take care of your health. As diabetes can harm heart as well as kidneys and other organs. But. In your case reports are good and looks like sitagliptin works well for you. Weight control. Less carbs. More proteins. No soft drinks. No beer. That will help. Never to smoke and to take less oily food. Feel free to consult me if you need on this.
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Sometimes my hand becomes double in size and that time I feel pain in my hand. I visit a doctor and he told me that when you eat oily, fast food and pulses your uric acid has increase. So tell me a way to completely solve this problem.

MBBS, DFM, FID, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease, M.MED
General Physician, Hyderabad
Sometimes my hand becomes double in size and that time I feel pain in my hand. I visit a doctor and he told me that w...
uric acid is produced when the body breaks down a chemical called purine. Purine occurs naturally in your body, but it's also found in certain foods. Uric acid is eliminated from the body in urine. A gout diet may help decrease uric acid levels in the blood. While a gout diet is not a cure, it may lower the risk of recurring painful gout attacks and slow the progression of joint damage. Medication also is needed to manage pain and to lower levels of uric acid. Purpose a little history selected seafood. Avoid the following types of seafood, which are higher in purines than others: anchovies, herring, sardines, mussels, scallops, trout, haddock, mackerel and tuna. Alcohol. The metabolism of alcohol in your body is thought to increase uric acid production, and alcohol contributes to dehydration. Beer is associated with an increased risk of gout and recurring attacks, as are distilled liquors to some extent. The effect of wine is not as well-understood. If you drink alcohol, talk to your doctor about what is appropriate for you. Vitamin c. Vitamin c may help lower uric acid levels. Talk to your doctor about whether a 500-milligram vitamin c supplement fits into your diet and medication plan. Coffee. Some research suggests that moderate coffee consumption may be associated with a reduced risk of gout, particularly with regular caffeinated coffee. Drinking coffee may not be appropriate for other medical conditions. Talk to your doctor about how much coffee is right for you. Cherries. There is some evidence that eating cherries is associated with a reduced risk of gout attacks. A sample menu here's a look at what you might eat during a typical day on a gout diet: breakfast whole-grain, unsweetened cereal with skim or low-fat milk 1 cup fresh strawberries coffee water lunch roasted chicken breast slices (2 ounces) on a whole-grain roll with mustard mixed green salad with balsamic vinegar and olive oil dressing skim or low-fat milk water afternoon snack 1 cup fresh cherries water dinner roasted salmon (3-4 ounces) roasted or steamed green beans 1/2 cup whole-grain pasta with olive oil and lemon pepper water low-fat yogurt 1 cup fresh melon caffeine-free beverage, such as herbal tea.
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Sir I have thyroid last 5 to 6 years pls suggest me what is important methods to come out of these huge problem sir I always go to walking but there is no reduce in weights pls help me.

MSc
Dietitian/Nutritionist, Chandigarh
Sir  I have thyroid last 5 to 6 years pls suggest me what is important methods to come out of these huge problem sir ...
Do regular exercise like skipping, push up, sit up, plank etc. Eat small amount of food. Use supplement in this purpose. Avoid fast foods, junk foods. Drink plenty of water specially before meals. Use lukewarm water after meals. Avoid smoking, alcohol. Take quality sleep.
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I am diabetic patient. Last three month average sugar is 9. 0.Please do help.

MD - Medicine, MBBS
Cardiologist,
Your sugar is not under control. You need a change in your medicines or an increase in the dosage. Also avoid oily and carbohydrate rich food. Do regular exercise.
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How to cure pcod and female infertility, aged 30 for sure?

B.H.M.S., Senior Homeopath Consultant
Homeopath,
Nux vomica 30 / 5 drops in little water thrice a day for one week. Revert back after one week with feedback.
3 people found this helpful
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Doctor I am a diabetic patient. My sugar level goes always high so what should I do to control it.

MBBS, MD - Medicine
General Physician, Delhi
Doctor I am a diabetic patient. My sugar level goes always high so what should I do to control it.
Increase thirst, increased frequency of urination are some initial symptoms of diabetes but it can vary from being completely asymptomatic to non specific symptoms like weakness, tingling in feet, dry mouth, blurry vision, burning during urination. You need to follow a healthy lifestyle to prevent such metabolic diseases. Type 1 usually occurs at younger age due to insulin deficiency and treated with insulin injections. Type 2 usually in adults due to insulin resistance and treated with oral medicines.
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My mom is 62 years old diabetic, taking insulin also for the past 4 months because eyes specialist Dr. Advised her to cure her glaucoma in both eye but still sugar is not normal.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mom is 62 years old diabetic, taking insulin also for the past 4 months because eyes specialist Dr. Advised her to...
Glaucoma, does occur as a complication of uncontrolled diabetes. Most important is to achieve a strict blood sugar control. Good control means fasting should be 100 mg & pp around 150 to 160 mg/100 ml. & hba1c% <7.
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My age is 23years. recently I have pain in my throat and unwanted hair problem for past 5years. So, I gone for check up and in reports it is showing as SERUM TSH is 8.83 (0.30-5.5) and doctor suggested for me to use TAB-LETHYROX 25. And suggested me to use for 6months can that thyroid can be cured.

C.S.C, D.C.H, M.B.B.S
General Physician,
My age is 23years. recently I have pain in my throat and unwanted hair problem for past 5years. So, I gone for check ...
Thyroid can be controlled and you may need to continue tab for life long and so a full TFT and inform me
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I am aged 62. I have sugar problem for the past 5 years. Now I am taking Tab. GLIMESTAR (M1) (Glimepiride Hydrochloride (SR) Dose 1 time before lunch. F 180 PP 220. This level is constant for the past 1 year. Kindly suggest me a latest tablet.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am aged 62. I have sugar problem for the past 5 years. Now I am taking Tab. GLIMESTAR (M1) (Glimepiride Hydrochlori...
Mr S Murugaraj, The sugar levels are high particularly fasting one. What is the HbA1c%? Plus tell me do you exercise daily regularly for at least 1 hour? What is your dietary pattern? It will be better if you come in a private conversation with all the details, where i will be able to give specific suggestions.
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I am 35 years old and I am suffering from diabetes from 7 years and now I am taking insulin and I have uric acid. My problem is I masturbate two times daily and now I am facing erection problem and I am not married how to get rid of masturbation.

BAMS, MD Ayurveda
Sexologist, Lonavala
I am 35 years old and I am suffering from diabetes from 7 years and now I am taking insulin and I have uric acid. My ...
Try the following remedy it will surely help you 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day Causes: • Anxiety • Incorrect diet • Unhealthy lifestyle This will help with your concern.
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Any relation between smoking and thyroid problems.

MD - Internal Medicine, MBBS
Endocrinologist,
Any relation between smoking and thyroid problems.
yes...smoking increases levels of thyroid. you can 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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Hello doctor. My dad is a diabetic patient can he drink red wine? please suggest me.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Hello doctor. My dad is a diabetic patient can he drink red wine? please suggest me.
Hi. Thanks for the query. There are no benefits of drinking wine. The specific nutrient benefit can be got from other healthy foods a s well. Remember you can end up with troubled blood sugar levels if not taken in the right amounts. Even if had it has to be planned into a diabetic diet. Will not advise random intake.
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My father is of 50 yrs. He had an heart attack 15 years ago n last years he got diabetic also. Now his sugar is bit more. What should be their daily diet? Pls suggest.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My father is of 50 yrs. He had an heart attack 15 years ago n last years he got diabetic also. Now his sugar is bit m...
Control diabetes first with the help of medicines or insulin , write back if DM is type 1 or type 2. If heart attack occured 15 years ago and if now he is not having any symptoms , by now reversal might have occured. Get back with details please. Will Sure help you with diet but only after knowing more.
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What the effect of increase in uric acid (7.6mg%), shot (ast) 56 iu/L, shot (alt) 116 Iu/L What problem happen due to this please tell me in details.

BHMS
Homeopath, Lucknow
Dear lybrate-user, normal uric acid level in blood should be between 6 to 6.5. There is no need to worry because there is not so much increase uric acid. It will be recover after taking suitable medication. Problems creating due to increase uric acid level like small and large joints pain, inflammation around joints, low grade fever etc. Thanks.
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She is 24 year and she has thyroid can she get pregnant but she has an normal thyroid.

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
She is 24 year and she has thyroid can she get pregnant but she has an normal thyroid.
Dear Lybrate user, You have mentioned that she has thyroid at the beginning of your statement and that she has normal thyroid at the end. If she has thyroid, then she should be put on appropriate treatment and then investigated whether she can get pregnant. Most of the ladies with thyroid problem conceive.
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I am 42 years diabetic. My Dr. Asked me not to touch banana I am 100 kg look very odd I do not socialize do not go out to people. please plz help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 42 years diabetic. My Dr. Asked me not to touch banana I am 100 kg look very odd I do not socialize do not go ou...
lybrate-user, You have grade 1 obesity with a BMI of 33.89 kgs/M2, this itself is the possible cause for diabetes. Even if you reduce your weight by 7to8%, there will a lot of benefit. Only way to do this to take a restricted dietgiving limited calories based on ideal body weight (72 kgs), plus exercising daily for at least 1 hour. Brisk walking could be a good beginning. Banana contains a lot of carbs, hence is not an ideal fruit for a diabetic person. Controlling blood glucose is very essential, otherwise there can be a number of complications that can occur relating to various vital organs. Thanks.
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4 Tips to Keep Diabetes at Bay

MD - Internal Medicine, MBBS
Internal Medicine Specialist, Delhi
4 Tips to Keep Diabetes at Bay

Diabetes is also known as diabetes mellitus, is a group of metabolic diseases, which raises the glucose level in the blood. If suffering from diabetes, parts of your body might get affected with other diseases as well, like bad eyesight, etc. 

Diabetes is of 3 types:

  1. Type 1 Diabetes: where your body stops insulin production.
  2. Type 2 Diabetes: where your body does not produce enough insulin to function on or where the cells of your body do not react toward the insulin produced
  3. Gestational Diabetes: This is the diabetes you or your partner may suffer from during pregnancy.

Suffering from diabetes can make your lifestyle extremely difficult as you will have to go through a lot of restrictions. In order to avoid diabetes and its various outcomes, here are some tips you can follow:

  1. Keep your weight in control: Make sure you are of the right weight according to your height. If you are more than what you should weigh, and you are creeping towards obesity, you have a high chance of succumbing to diabetes. If you are already obese, start working towards losing weight. Even if you lose 5% of your weight, you will slash the risk of having diabetes by 70%. 
  2. Walk: No exercise is better and easier than walking. Try walking as much as you can. Walking will help you reduce the risk of getting affected with diabetes. If you walk for around 35 minutes every day, you are cutting down the risk of diabetes by almost 30%. Walking, being an exercise, helps your body use the insulin produced in your body more efficiently. 
  3. Drink coffee: Coffee, unlike common belief of being harmful, is actually very beneficial when it comes to keeping diabetes at bay. Coffee contains caffeine, which is believed to improve metabolism. Coffee also has potassium, magnesium and various antioxidants which enable the cells to absorb glucose. Drinking coffee regularly might lower the risk of diabetes by 29%.
  4. Get proper rest at night: If you sleep for less than 6 hours every night, then the risk of you suffering from diabetes is doubled. But that doesn't mean you are supposed to oversleep. If you sleep more than 8 hours, the risk of being affected with it rises to almost 75%. Hence sleep at least for 6 to 8 hours each night for a healthy life sans diabetes.
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My sister is a diabetic patient, her sugar remains around 210/240. Her right hand ring finger bents suddenly, by another hand this finger has to be straightened, now she is suffering with left hand also? What to do?(taken all homoeopathic, alopathic medicine also done physiotherapy treatment)

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
My sister is a diabetic patient, her sugar remains around 210/240. Her right hand ring finger bents suddenly, by anot...
It seems to be a condition called trigger finger. It is usually a complication of uncontrolled diabetes. If physiotherapy therapy doesn't help, she will require a minor surgery to correct the defect. But most importantly, she should visit her diabetologist for change of medicines and strict sugar control and a renewal in her diet. Also, control of blood pressure and cholesterol is necessary.
2 people found this helpful
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What are the different types of diabetes. What precautions should be taken to avoid diabetes.

MBBS, MD - Medicine
General Physician, Delhi
What are the different types of diabetes. What precautions should be taken to avoid diabetes.
Increase thirst, increased frequency of urination are some initial symptoms of diabetes but it can vary from being completely asymptomatic to non specific symptoms like weakness, tingling in feet, dry mouth, blurry vision, burning during urination. You need to follow a healthy lifestyle to prevent such metabolic diseases. Type 1 usually occurs at younger age due to insulin deficiency and treated with insulin injections. Type 2 usually in adults due to insulin resistance and treated with oral medicines. It can't be cured completely but you can keep it controlled by taking these precautions.
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