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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 28 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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My thyroid function test report is T3--3.03, T4--1.29 and TSH is 0.02 which is quite less. My age is 46 and I have pcod problem I bleed excessive during my periods and my hemoglobin is always less, currently it is 10.4 I am taking homeopathy medication. I facing lot of hair loss and acne problem also also please suggest what I should do. Thanks and waiting for your suggestions.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
My thyroid function test report is T3--3.03, T4--1.29 and TSH is 0.02 which is quite less. My age is 46 and I have pc...
Use antidandruff shampoo. Use keshkanti oil from ramdev at bedtime. Do pranayam daily for ten minutes. Take tablet keralego eva for six months. Avoid junk food and fried food.
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My wife is 25 and I think she is having thyroid problem can you suggest food not to eat by thyroid patients and how much it will cost for curing thyroid.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If it is hypothyroidism she has to take thyroxine tablets, dosage depending on tsh levels. There is no specific food control.
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I am having hypothyroidism and taking 100 mg Levi thyroxine. I am having high cholesterol since a year it is reducing after using rosuvastatin 20 mg but when the medicines are stopped again cholesterol will become high. Please advise how long can I use cholesterol medicines and how to reduce cholesterol naturally.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am having hypothyroidism and taking 100 mg Levi thyroxine. I am having high cholesterol since a year it is reducing...
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 consult doctor on time. Hello dear High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines .
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I am taking Diamet 500 morning and night before food for last 7 years my blood sugar is around 120 to 135 for this time. Is it ok or i have to go for any other medicine ?

PGDHM, PGCDM, MD - Internal Medicine, MBBS
General Physician, Ahmedabad
Hello You have Diabetes and you are on said medication, and your blood sugar is around 120-135. Please clarify that this blood sugar level is Fasting or Post prandial or Random. Thanks Dr Joozer Rangwala
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Hello Dr. My mother (age - 56 ) is suffering from joints pain and muscles pain since last 2-3 months. The pain is unbearable. She can't walk without holding any support and even can't stand for sometime. Some times she becomes aggressive n speaks very harsh words bluntly. She often forgets many things she has done or spoken. She has thyroid disorder since last 15 years n she was taking a tablet (Thyroxine Sodium Tablets IP, THYROX - 25 ) regularly in the morning empty stomach and she was doing very well with this medication. Now, 3 months before when she had these types of pains we consulted our family physician where her routine checkup had being done on regular basis as directed by the physician. We got some blood tests like Haemogram report, Renal Function, Arthritis Profile, Thyroid Function Test done for it. And the results says : Hemoglobin : 11.3 gm% R.B.C. : 4.18 mill./cu. Mm. W.B.C. : 7820/cu. Mm Platelet. : 3,06,000/ cu. Mm. polymorph. : 70% Lymphocytes : 25% eosinophil. : 02% monocyte. : 03% basophil. : 00% P.C.V. : 35.1% M.C.V. : 83. 97fl M.C.H. : 27.03 pg M.C.H.C. : 32.19% R.D.W. : 14.9% E.S.R. (Automated ) After one hour : 90 mm Serum Creatinine. : 0.99 mg/dl Uric acid : 6.41 mg% RA Test (Quantitative ) : 109.9 IU/ml Serum FT4 Estimation : 14.12 pmol/L Serum U/S TSH Estimation : 12.30 ulU/ml Our family physician proscribed the below medicines for it - Tab Thyrox 50 mcg 1-0-0 empty stomach Tab HCQS 200 (10) 0-1-0 Tab Etova-P 400 (30) 1-0-1 Tab Imutrex 7.5 (4) 0-0-1 every Friday Tab liquid-D3 (4) 0-0-1 every Friday She had completed the course of the above medicines. But there is no result. She has continue her Thyroid Tab as the physician said. We had also consulted other physicians. Some of them said the arthritis problem is because of Thyroid disorder, if she takes Thyroid Tab regularly n do routine checkup regularly then everything will be fine after few months. Some said she needed to take the Thyroid Tab of 50 mcg when she was taking it of 25 mcg. But our family physician never proscribed the 50 mcg Tab before this. Now here is my question Dr. Is/was my mother going under correct/right medication. Is her Thyroid Tab of 50 mcg is okk according to her report I've mentioned above. Shall we go for Ayurveda or naturopathic treatment for her arthritis problem. Give some suggestions for the problem. I will be thankful to you if you can proscribe some medication or remedies or any other treatments for her. Thanks a lot. Regards, Hiral Patel.

DM - Rheumatology, MD - General Medicine
Rheumatologist, Mumbai
Hello Dr. My mother (age - 56 ) is suffering from joints pain and muscles pain since last 2-3 months. The pain is unb...
Hi hiral first of all you hv given a really comprehensive history, complements ob that. Your mother is suffering most likely from rheumatoid arthritus seeing her high titres ib ra report and history you gv. Immutrex and hcqs are goid tablets but they start working a bit late and immitrex need to be increased gradually. Initially you need to give some dose of low dose steroids to make the former medicines work more effectively. Normal physicians might not be well trained to treat ra, cobsult a rheumatologist of possible, remember natiroapthy and ayurveda does not lead to complete relied unlike allopathy and if you are late joints might undergo destruction nothing will work after that. Many a times naturopathy and ayurveda gives drugs containing gold and lead, steroid powder you can never check because most of time they are self made powders, we do use steroids for ra in allopathy but most of time its low dose, pt knows abt it and we try to stop it as soon as pt gets totally controlled. We monitor regularly also. Also ra is usually a chronoc diseaae, faster you act lesser the meds required in future.
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Dear Doctor My wife suffering Thyroid problem and her TSH is 7.29 and rest T3= 89. What should we do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, TSH 7.29 mU/L, is a sub-clinical state. Normally no treatment is advocated, unless there are troublesome symptoms which can be attributed to hypothyroidism. Since, there is no mention about any symptoms like weight gain, irregular menstruation, slow heart rate, dry skin and hair loss etc. I can not give any specific advice. Thanks.
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Hi I am 31 years old men, having diabetes and taking supplements, now its 102 (F) and 130 (PP). But I have right shoulder pain for the 10 days for whole days. Is this related to diabetes?

MD - General Medicine, DM - Endocrinology
Endocrinologist, Faridabad
Hi I am 31 years old men, having diabetes and taking supplements, now its 102 (F) and 130 (PP). But I have right shou...
Hi Lybrate user. People with diabetes have shoulder pain and stiffness (frozen shoulder) more commonly than those without diabetes. And your blood sugars are well controlled. Even if it related to diabetes, you should seek help from orthopedic surgeon so that condition can be treated early and you don't develop irreversible damage to your shoulder.
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I think I have sugar if I have sugar what reactions I found in my body please tell me.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
I think I have sugar if I have sugar what reactions I found in my body please tell me.
Symptoms are polyphagia, polydipsia,polyuria. And weakness. You go for following tests 1. Hba1c 2. Fasting blood sugar 3. P.p. Blood sugar 4. Serum creatinine test. I can guide you.
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I am 7 months pregnant, at the beginning of my pregnancy my weight was 77 kg and now it is 90 kg. Is it possible to have the baby by normal delivery or not? My sugar and BP ARE QUITE NORMAL.

MBBS, Dnb gynaecology
Gynaecologist, Faridabad
I am 7 months pregnant, at the beginning of my pregnancy my weight was 77 kg and now it is 90 kg. Is it possible to h...
Normal vaginal delivery depends on many factors so wait till term but you hv increased quiet a lot of weight so just hv a check on your weight it should not increase by 1-2 kgs till term.
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My fasting b.s. Is higher than after meal Fasting: 145 2 hours after meal :116. Please advise.

M.Sc - Dietitics / Nutrition, Diploma in Food & Nutrition & Diabetic Educator , B.Sc. - Home Science
Dietitian/Nutritionist, Delhi
My fasting b.s. Is higher than after meal Fasting: 145 2 hours after meal :116. Please advise.
Do walk and take high fiber diet. Take plenty of fluids. Avoid sugars, extra salt, sweet, glucose,preservative foods, junk food, oily food, mango, banana, chhiku, annar. Take plenty of fruits. Take coconut water, lemon water, butter milk. Don't skip your meals.
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My relative has diabetes some times his left leg pains a lot does it mean his diabetes has shot up what is the preventive measures he should take.

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mohali
My relative has diabetes some times his left leg pains a lot does it mean his diabetes has shot up what is the preven...
Hello sir check your blood sugar, hba1c, lipid profile, urine test 24 hrs, uric acid, esr, creatinine,
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I have fatty liver. Sgot and sgpt level is high. And high cholesterol. Uric acid high level. What should i do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have fatty liver. Sgot and sgpt level is high. And high cholesterol. Uric acid high level. What should i do?
high cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain. Take anti cholesterol medicines . take anti uric acid medicines.and medicines for liver .
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How to recognize blood sugar high without blood test. What should be the precaution if want to avoided high blood sugar.

Diploma in Diabetology, MBBS
General Physician, Warangal
How to recognize blood sugar high without blood test. What should be the precaution if want to avoided high blood sugar.
Maintain ibw take balance d diet walk daily avoid sugary items fat food lead stress free life there is excessive urine hunger thirst loss of wt symptoms may prese nt.
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Is there any side effects of taking sugar free pills instead of sugar in daily routine?

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Is there any side effects of taking sugar free pills instead of sugar in daily routine?
Sugar-free pills have till date not undergone any major human study trial. By doing human study trial we ascertain the benefits and risks of any agent on scientific basis. So in reality everybody is consuming these sweeteners on the basis of animal trials !
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I am 42 years male. Hypothyroidism problem. borderline sugar and pressure. Now I am fatigue lost in interest in work. Sleepy. Testosterone level 321 ng/dl. Can I take testosterone treatment to revitalize myself. If yes give me advice.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
I am 42 years male. Hypothyroidism problem. borderline sugar and pressure. Now I am fatigue lost in interest in work....
I don't think you require testosterone until it is deficient. Once check all parameters for sugar, TSH and blood pressure., if every thing is normal then try Cap Co enzyme Q available as Co Q Forte daily. You will feel energetic.
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Shilajit capsules increases uric acid in our body or not? Is this medicine good to cure side effects of over masturbation.

BHMS
Homeopath, Faridabad
Shilajit capsules increases uric acid in our body or not? Is this medicine good to cure side effects of over masturba...
Hello, Do not take Shilajit if you suffer from gout. It can increase uric acid in the body. Children, pregnant or nursing mothers should always seek the advice of their doctor before taking. It is good for sexual health and to cure the side effects of masturbation.
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My aunt is suffering diabetes she is very tense about their children's because of zentic disease please suggest something very urgent.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My aunt is suffering diabetes she is very tense about their children's because of zentic disease please suggest somet...
Bhavanaji, T2 DM is a familial disease, it does run in family. If both parents have diabetes then 75 % of children are likely to get it. If one of the parents have it, then 25 % may get it. Fortunately it is a preventable disease. That is if a modified life style is followed like regular exercise for more than 1 hour a day, maintaining normal body weight, take a balanced diet giving matching calories based on ideal body weight and avoid too much of sweets, deep fried foods, junk foods and pastries. Plus should consume a good deal of green leafy vegetables, salads and fruits. Refrain from alcohol and smoking. If this meticulously adhered to, then one can remain free from diabetes.
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Hello doctor. I am a medico. My mother was diagnosed to be subclinical hypothyroidism TSH 5.9 and was started on eltroxin 25 mcg and calcium .omeze and rantac .diagnosed 3 weeks back and started using. 2 weeks everything went well. Suddenly one evng she went to puja and returned back with URTICARIA. AND it progressed to lip oedema on next day mrng .immediately took her to hospital. Started on prednisolone 10 mg 3 days with allegra and montelukast. 3 days fine. Urticaria decreased. On 4th day again urticaria started now it was generalised (initially on day 1 it was localised) on that day night he developed one episode of tightness throat. But no shortness of breath. Later mrng again we took to hospital. Vitals all normal. Doc said to continue allegra and montelukast .and by evng urticaria increased and consulted dermatologist and started on deflocort and allegra and montelukast .now rashes urticaria less. My QUESTION CAN IT BE DUE TO ELTROXIN? RANTAC? OMEZA? CALCIUM? I MEAN DRUG INDUCED URTICARIA? OR SHE SAID SHE ATE LITTLE PRASADAM AT TEMPLE? CAN IT BE DUE TO FOOD? WHAT IS BEST STEP. ELTROXIN CONTINUE OR STOP?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello doctor. I am a medico. My mother was diagnosed to be subclinical hypothyroidism TSH 5.9 and was started on eltr...
Hello, It is very difficult to say which of the various drugs mentioned has been the cause of allergy. Usually Thyroxine is very well tolerated by most of the patients. However, allergic reaction can occur to any drug or a substance any time, even after continuous usage. To find out the culprit she may have to stop all medicines for a week or so, then may introduce one by one to see which one of the compound is responsible. Then that has to be eliminated for life time. Subclinical hypothyroidism is not treated with thyroxine. Only if T4 level is low, plus there are some troublesome symptoms of hypothyroidism present then only treatment may be initiated. TSH above 10 mU/L warrents treatment. Thanks.
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