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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 41 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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Age 53, tsh-12. Please advise dose of thyroxin (hpothd from last 8yrs).

MD - Internal Medicine, MBBS
Endocrinologist,
Age 53, tsh-12. Please advise dose of thyroxin (hpothd from last 8yrs).
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 uric acid level 6.3 last four year I have suffer backache problem specially in morning time (5am) what can I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
My uric acid level 6.3 last four year I have suffer backache problem specially in morning time (5am) what can I do?
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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I have found I am having diabetes. It was 169 fasting. 229 after lunch. Can you prescribed me the diet plan which I need to follow.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have found I am having diabetes. It was 169 fasting. 229 after lunch. Can you prescribed me the diet plan which I n...
Mr. Lybrate-user, you have to first take appropriate treatment with anti- diabetes drugs, plus restricted diet and regular exercise. As regards giving an exact diet plan, it has to be very individualised. So I need to know sugar levels, hba1c%, present dietary habits and extent of daily exercise being done. Unless those details are there, I may not be able to give any plan. Still a few things you should are: avoid sweets, deep fried foods, junk foods, pastries, white bread, other bakery item, sweetened aerated drinks, high fat milk products, fructose corn syrup containing products and highly processed foods. You should consume good deal of green leafy vegetables, salads and permitted fruits (100 g a day). Thanks fooor the question.
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Prescribed fruits in diabetes.

MBBS, DGO (cal)
General Physician,
Papaya, guava, any fruits that is not very sweet. Even you can take sweet fruit in very limited quantity depending upon your dietary allowances.
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I am 30 yr old. I am suffering from type 2 diabetes. Can you give me some health tips? I am also think for future planning.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am a registered dietitian, certified diabetes educator and a doctor who will help you in your diabetes problem. You need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed: take high fiber prescribed diet. Maintain a healthy body weight eat a balanced diet as prescribed by a registered dietitian, if you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight around 7 percent of initial body weight and exercised regularly reduced the risk of developing diabetes by almost 60 percent. I being a registered dietitian and doctor have been successfully helping patients with their diabetes problem. I will also prescribe medicines that will speed up the time to achieve your weight management goals. Do reply back for private consultation.
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Hi. My father is a diabetic patient. Can a diabetic patient take alcohol? please give us a diet plan for diabetes patient ?

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Advisable not take alcohol however if they still take insist to take with food/meals as there will be high chances of hypoglycemia.
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HER AGE 72, DIABIETES FROM 15 YEARS, TAKES ORAL MEDICINE SINCE 14 YEARS, RECENTLY STARTED INSULIEN 8/6 UNITS AS SUGGESTED BY DOCTOR, NOW SUFFERING FROM CHEST BURNING AND VOMITING PROBLEM CONTINUE AFTER STARTING INSULEINE, EATING AND DIGESTING IS MAIN PROBLEM. KINDLY SUGGEST.

MBBS
General Physician, Delhi
Check your diet. Take fresh fruits. Avoid smoking,alcohol,cola,coffee,junk foods, consult your doctor for tablet domperidon + rabeprazole -daily 1/2 hour after food. Dr B M GUPTA BP, SUGAR & THYROID CLINIC DELHI
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I have diabetes and every time I wake up I feel not refreshed and not in the mood. I really need help with it.

Certification in Diabetes Educators Program, Post Graduate Diploma in Sports Nutrition
Dietitian/Nutritionist, Mumbai
I have diabetes and every time I wake up I feel not refreshed and not in the mood. I really need help with it.
Diabetes can leave you exhausted, hence you need to manage diabetes with a correct lifestyle. In case of diabetes you have to eat nutrient dense food and exercise well. You need a fat loss diet which comprises of whole grains like jowar, bajra, wheat, brown rice, pulses like moong, musoor, bengal gram, lots of vegetables, fruits, eggs, fish, chicken, paneer, healthy oil, nuts and seeds. You need to eat them in right proportion. Avoid eating sugar and sweets, refined foods like maida, noodles pasta, white rice and products, bread. Drink a lot of water. Exercise atleast 5 times a week. Do not overeat. Eat 3 proper meals and 2 snack in between. Stop when your stomach is 80% full. Eat slowly.
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I am 29 yr male, I have thyroid problem and using thyroxine sodium 100 mg tablets and my weight is 96 should I have increase the power or to continue with the same.?

Ear-Nose-Throat (ENT) Specialist, Bangalore
I am 29 yr male, I have thyroid problem and using thyroxine sodium 100 mg tablets and my weight is 96 should I have i...
Dosage of thyronorm depends on your thyroid profile. You need to get your t3 t4 tsh done or atleast tsh done and consult doctor for change of dosage if at all required.
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I have a diabetise. So what should I do for wight gain?

BHMS
Homeopath,
I have a diabetise. So what should I do for wight gain?
Hello,Homeopathic medicines are less invasive and have more herbal approach towards gaining the weight. There are a number of homoeopathic medicines, which treat the root cause behind the body’s inability to gain weight or bulk up. 1. Take alfalfa tonic(wsi), 2 – 2 tsp. Thrice a day, half an hour before meals. 2. Calcarea phos 200, 5 drops , once in aweek , morning empty stomach for 2 weeks. 3. do light exercises regularly to keep your body active. These homoeopathic medicines and dietary addition will increase your appetite and give your metabolism a healthy boost. ***If you do not get results with this treatment then please revert me i will suggest you to go through some tests.*** Thanks.
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Ayurveda For Diabetes

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS), PGDEMS, DNHE, DYA
Ayurveda, Mumbai
Ayurveda For Diabetes

In Ayurveda, diabetes is known as 'Madhumeha' and is classified as a 'kapha' type of disorder. Ayurveda identifies 20 types of diabetes 4 due to Vata, 6 results from Pitta and 10 are caused by Kapha.

Causes

Factors that are often responsible for causing diabetes are excessive intake of foods which are difficult to digest, such as fried foods, creams, etc. Lack of exercise, mental stress and strain, excessive sleep, overeating and consequent obesity, excessive intake of sugar and refined carbohydrates, overloading of proteins and fats can also lead to diabetes. Hereditary factors also play role in causing diabetes.

Symptoms

  1. Fatigue
  2. Weight loss or weight gain
  3. Frequent urinary tract infections
  4. Blurred vision
  5. Excessive sweating
  6. Excessive thirst
  7. Excessive hunger
  8. Frequent urination in large quantity

Ayurvedic Remedies To Control Diabetes

There are several herbs which are found to be very effective in treating diabetes and lowering blood sugar level. The greatest advantage of these herbal diabetes medicine supplements are that they have no side effects. Given below is a list of some of the most effective diabetes treatment herbs-

  1. Bitter Gourd (Momordica charantia)
  2. Bael (Aegle marmelos)
  3. Gurmar Leaves (Gymnema sylvestrae)
  4. Fenugreek (Trigonella foenum graecum)
  5. Turmeric (Curcuma longa)
  6. Onion (Allium cepa)
  7. Nayantatra (Vinca rosa)
  8. Neem (Azadirachtha indica)
  9. Garlic (Allium sativum)
  10. Sagar gota (Ceasalpinia crista)

Ayurvedic Remedies for Diabetes Cure

  1. The bitter gourd is regarded as the best remedy for diabetes. Drinking at least one tablespoon of bitter gourd juice daily will reduce blood sugar levels in your blood and urine.
  2. Having bitter gourd cooked in ghee for a period of three months will bring the diabetes down by a significant amount.
  3. A tablespoon of Indian gooseberry juice mixed with a cup of fresh bitter-gourd juice, taken daily for two months will enable the pancreas to secrete insulin.
  4. Drinking a glass of water with 10 tulsi leaves, 10 neem leaves and 10 belpatras early morning on an empty stomach helps in keeping sugar levels under control.
  5. Mix and grind seeds of Fenugreek (100 gm), turmeric (50gm), white pepper. Take one teaspoon of this powder with a glass of milk twice daily.
  6. Put one cup of water into a copper vessel at night, and drink the water in the morning.

Diabetes Lifestyle

  1. Avoid sleeping during daytime
  2. Avoid smoking
  3. Take adequate eye care
  4. Do exercise regularly
  5. Take extra care of your foot

In Ayurveda, the body is made up of three doshas - kapha, vata, pitta and gunas - rajas, tamas and satva. The various techniques that Ayurveda recommends to improve your wellbeing are -

  • Meditate regularly
  • Exercise on a regular basis
  • Eat the largest meal during lunch
  • Limit portion sizes
  • Weed out negative emotions
  • Limit foods that are high in sugar
  • Be careful about when and how many carbohydrates you eat
  • Eat a variety of whole-grain foods and vegetables every day
  • Eat less fat
  • Limit your use of alcohol
  • Use less salt
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What is the best way to control sugar and diabetes?

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
Stress can raise your blood sugar. Learn ways to lower your stress. Try deep breathing, gardening, taking a walk, meditating, working on your hobby, or listening to your favorite music. Ask for help if you feel down choose foods that are lower in calories, saturated fat, trans fat, sugar, and salt. Eat foods with more fiber, such as whole grain cereals set a goal to be more active most days of the week. Start slow by taking 10 minute walks, 3 times a day. Twice a week, work to increase your muscle strength.
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Hi doctors I have thyroid problem just little high and I take tablet how to reduce my thyroid problem please answer.

Ph. D - Gastro & Human Nutrition Unit
Dietitian/Nutritionist, Pune
Hi doctors I have thyroid problem just little high and I take tablet how to reduce my thyroid problem please answer.
u need to control thyroid through diet have diet which helps to reduce thyroid. stop eating bakery products include more fibre.
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Sir, my wife age 45 yrs.She is suffering headache it is not consistently one day pain right side other day left side and nick and back also pains. Night time pain is more, she is type-2 diabetic, for both regularly medians. Since 20 yrs headache problem not soloed, advice

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician, Hyderabad
Women have more stress than males.Your message tells that your mrs is having much stress. Did you consult a Neuro dr, any tests done. For the time being I advise 'YOGA' which works wonders & it is good for DM also
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I am 58 years old. I have pain in my knees whenever I climb a slope or staitrs. My blood uric acid count is 9. 0. How do I bring down my uric acid ?

BPTh/BPT, MSc Yoga, MD - Acupuncture
Physiotherapist, Chennai
Hi, I would recommend you to take 2 litres of water /day to bring down your uric acid level. For your knee pain is concerned, I would recommend you to visit nearby physiotherapy centre to take pain relieving modalities, and once your pain subsides start doing strengthening exercises. Its better to continue exercises regularly through out your life for being healthy. If you are obese, try to reduce weight gradually. Dont try to go for any supplements to reduce weight. Check your uric acid level and creatine levels next month to avoid complications of kidney. Regards rekha srinath
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What are the criteria for getting fit from diabetes pls tell me I am afraid of it pls.

MBBS
General Physician, Cuttack
What are the criteria for getting fit from diabetes pls tell me I am afraid of it pls.
1. Do regular exercise 2. Reduce weight if over weight 3. Control diet. 4. Avoid excess sweets, sugar, fried food, fast food like pizza/burger/cookies, maida biscuits. Oily, fatty, excess calorie, saturated fat and cholesterol rich diet, take high fiber diet like whole grain rice, mult igrain chapati/bread, green leafy vegetables/fruits 6. Monitor your fasting, pp blood sugar 6monthly if you have a family history 7. Consult diabetologist/physician for advice and treatment.
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I am 41 year old. I am suffering from diabetics for last 3 years it may vary from 110 to 152 in fasting.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
I am 41 year old.  I am suffering from diabetics for last 3 years it may vary from 110 to 152 in fasting.
Hi,great that you shared being dm n gd control! please maintain it with your diet, exercise n medicines advised by your Dr. Consider to reverse it with full charm in life authentic ayurveda shares achar n ahar sarayan with medicinal rasayan after detox. There is time bound complications with modern medicines of arteries n nerves (initially major n then small) if you have family history. Maintain weight n look for good bed performance which is the marker of health of arteries. Inside u.
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What r symptoms of thyroid?

MD - Internal Medicine, MBBS
Endocrinologist,
What r symptoms of thyroid?
thyroid two types 1.Symptoms of hypothyroidism:- tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, hair loss, difficulty in concentrating and at times in speech. 2. symptoms of hyperthyroidism:---all metabolic activity increases, heart rate goes up, patient may loose weight, early tiredness, sweating, nervousness, mood swings, palpitations & irregular heart beats, trouble sleeping, dry skin, light menstrual periods or skipping them, increased frequency of bowel movements.
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Sir, I am 25 year female. I have thyroid from past 6 years. Now I am using thyronorm tablets. I want permanent treatment for thyroid.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Taking thyroxine tablets in specific dose as prescribed is the only treatment for hypothyroidism. This is a hormone deficiency condition, hence, treatment is lifelong. There is no other option. Thanks.
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1) I often get severe back pain, please advice what could be the reason? 2) What are the symptoms of Thyroid. Please help?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
1) I often get severe back pain, please advice what could be the reason? 2) What are the symptoms of Thyroid. Please ...
Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.
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