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arogya diabetic clinic

Endocrinologist Clinic

patna balley road patna
1 Doctor
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arogya diabetic clinic Endocrinologist Clinic patna balley road patna
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Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health....more
Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about arogya diabetic clinic
arogya diabetic clinic is known for housing experienced Endocrinologists. Dr. Shalabh Samdarshi, a well-reputed Endocrinologist, practices in patna. Visit this medical health centre for Endocrinologists recommended by 68 patients.

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patna balley road
patna, Bihar - 800001
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Doctor

Dr. Shalabh Samdarshi

mbbs,diploma in diabetic managment
Endocrinologist
7 Years experience
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I have hypothyroid last 5 years. Can I take sea products like fish, prawn, etc. What are the foods to be avoided.

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist,
I have hypothyroid last 5 years. Can I take sea products like fish, prawn, etc. What are the foods to be avoided.
You can eat anything as per your choice. No food restrictions are required for hypothyroidism. Thyroxine hormone replacement is only treatment required.
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Red Penis Query: Does Diabetes Cause Balanitis?

MD - General Medicine
Sexologist, Delhi
Red Penis Query: Does Diabetes Cause Balanitis?

Although there are many causes of a red penis - including totally benign ones such as too much friction - when the red penis presents with balanitis, a man needs to take some appropriate penis health steps. Balanitis is a common issue for some men - and it may be more common for men who have diabetes.

Balanitis

What exactly is balanitis? It is defined as a condition in which the penis becomes inflamed, usually on the glans (or "head") of the penis. The name is derived from a Greek word which means acorn, a reference to the vaguely acorn shape of the glans. Any man can have balanitis, but it tends to be more prevalent in men who are intact.

Although the exact number of men who have or have had balanitis is unknown, studies indicate that between 3% and 11% of men in the United States have experienced it. Children and adolescents tend to be more susceptible to balanitis, but many adult men deal with it as well.

What causes it?

Balanitis is an inflammation, which means that some sort of infection - usually bacterial or yeast-based - is present. This is more likely to occur due to improper hygiene; a man does not clean sufficiently in the area and an infection develops. It can sometimes be difficult to clean beneath the foreskin, which is why balanitis may be more likely to occur in an intact man.

In other cases, using too strong a cleanser can be the inciting cause of balanitis. A soap with very harsh chemicals or fragrances may irritate the skin, bringing about the inflammation.

Diabetes

But diabetes can also be a contributing factor to the development of balanitis. Some sources even suggest that diabetes is the main cause of balanitis in adult males. Since diabetes is an increasingly common issue, especially as men get older, it is important to understand the connection between diabetes and balanitis.

As most people know, diabetes is a condition in which the body is unable to properly regulate the amount of sugar in the blood (also called the glucose level). Blood sugar is the key to a person's energy level and plays a big role in developing and maintaining muscles and tissues. When those levels are too low or too high, it can cause significant problems.

What does diabetes have to do with balanitis? It usually occurs when blood sugar levels are too high. Some of that excess sugar gets into the urine. When a man urinates, some residue often remains on the glans or slips down beneath the foreskin. If the urine is full of sugar, the drops that get waylaid on the penis will deposit that sugar when the urine evaporates. The presence of that sugar causes the inflammation, and a red penis results.

A man with diabetes needs to follow his prescribed course of treatment to properly monitor and maintain his blood glucose levels. He also needs to take appropriate steps to insure that his penis - especially the glans and foreskin - is kept well-washed and free of bacteria or other contaminants.

A healthy habit

A man with diabetes who wants to avoid balanitis and the resulting red penis should maintain his penis health by regular use of a first-rate penis health crème (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin). The itchiness and rashiness associated with balanitis respond well to a crème that has potent moisturizers, including Shea butter and vitamin E. Balanitis may also contribute to penis odor issues, so a crème with vitamin A is recommended; the antibacterial properties of this vitamin go a long way toward suppressing unwanted stench emanating from the penis. Whether a man has diabetes or not, use of a penis health crème is advised.

3 people found this helpful

Diabetes And Oral Health Care!

BDS, MDS
Dentist, Gorakhpur
Diabetes And Oral Health Care!

If you are a diabetic patient and your blood glucose levels are poorly controlled, you are more likely to develop serious gum disease and lose more teeth than non-diabetics. Like all other infections, serious gum diseases may contribute towards rise in blood sugar and may make diabetes harder to control.
Other oral problems associated with diabetes include - candidiasis (thrush), and dry mouth which can cause soreness of mouth, oral ulcers, various infections, teeth cavities and bad breath.

Prevention
First of all, control your blood glucose level by exercise, diet, oral medicines or insulin. Then, take good care of your teeth and gums, along with regular checkups every six months. To control candidiasis, use candid mouth paint and maintain good diabetic control, avoid smoking and, if you wear dentures, remove and clean dentures daily. Good blood glucose control can also help prevent or relieve dry mouth caused by diabetes. Use chlorhexidine mouthwash for 15 days and continue with diluted listerine mouthwash for months. It will prevent bad breath problem.
 

1 person found this helpful

My TSH levels are significantly higher suggesting hyperthyroidism. Please suggest medication and also suggest if any exercise can also help.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. High TSH (actual value is not mentioned, which is important to know), means you have hypothyroidism. Treatment can only be decided on seeing the actual values of T3, T3 & TSH. Plus your height and weight. Because without all those details dose of the medication can not be decided. It is better if you come in a private conversation then I will be able to prescribe the medication. In this communication we are supposed to give only general guidelines, no prescriptions are allowed. Thanks.
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Hi please tell me what are the thyroid symptoms I & have lot of tense about that.

MD - General Medicine, DM - Endocrinology, MBBS
Endocrinologist,
Hi please tell me what are the thyroid symptoms I & have lot of tense about that.
Symptoms depend on whether it's hypothyroidism or hyperthyroidism. Hypothyroidism causes symptoms of tiredness poor appetite cold feeling little weight gain constipation etc and opposite happens in hyperthyroidism. Irregular menstrual bleeding and infertility can occur both in hypothyroidism and hyperthyroidism.
2 people found this helpful
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Hi good morning my father is a diabetic patient 75 years his fore skin is tightened doctor told me that surgery have to do is any infection comes after surgery is it major surgery if the surgery has done it is good or bad.

MD
General Physician, Mohali
Hi good morning my father is a diabetic patient 75 years his fore skin is tightened doctor told me that surgery have ...
Dear lybrate-user. If this problem has recently developed than you may need to consider your doctor's advise. Surgery for this problem is a very simple and short one. If your doctor has tried medications and it's not working or he feels that surgery is the only option. Than you must consider. As it is in diabetic patients infections can be problematic.
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My father has large amount of uric acid. How to reduce it and what are its symptoms.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath, Kolkata
My father has large amount of uric acid. How to reduce it and what are its symptoms.
pain in finger joint, swelling some time with fever. take reduce amount of protein. 0.5per kg, body weight. take papaya and anar.
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I am Severe LVD patient, also insulin dependent diabetic can I use deemark shilajit gold capsules? Please clarify Thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am Severe LVD patient, also insulin dependent diabetic can I use deemark shilajit gold capsules? Please clarify
Tha...
Mr. lybrate-user Mahaboob, Thanks for the query. With LVD, it is better to avoid such medications, because there is no clarity whether all the given ingredients are safe, particularly in compromised cardiac condition. Thanks.
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I'm 20 years college girl I have thyroid stimulating hormone chemiluminescence as 7.95mcIU/mL is it hypothyroid or normal please do suggest me sum treatment cause I'm getting married very soon it seems it becomes complicated at the time of conserving I'm pissed off please do suggest me sum good treatment.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I'm 20 years college girl I have thyroid stimulating hormone chemiluminescence as 7.95mcIU/mL is it hypothyroid or no...
lybrate-user, Thanks for the query. TSH 7.95 mU/L, is considered as sub-clinical hypothyroidism. This normally does not any treatment. In cases where patient has some troublesome symptoms of hypothyroidism then only treatment is considered. I did not understand what are trying to convey by saying "it becomes complicated at the time of conserving" Please clarify that. Also please do comeback with details of any specific symptoms. Otherwise no treatment is needed at present. Thanks.
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Sir, my grandson is suffering from Type-1 Diabetes and we are giving him Humalog Mix50 twice a day. He is 14 years old. He was born with Downsyndrom and still unable to speak. Can you suggest the substitute of Humalog insulin?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir, my grandson is suffering from Type-1 Diabetes and we are giving him Humalog Mix50 twice a day. He is 14 years ol...
Mr. lybrate-user, Thanks for the query. In a patient with T1 diabetes only treatment is taking Insulin Injections for lifetime. Even if I suggest it will another type of Insulin only. No Other Drugs Can Used. Thanks.
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I am diabetic since 15 years. I am suggested to take glimepiride 2 my with 1000 my metformin, at breakfast. At lunch linagliptin 20 .mg At dinner sitagliptin 50 mg with metformin 1000 mg. Is it correct to take both gluttons. please suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I am diabetic since 15 years. I am suggested to take glimepiride 2 my with 1000 my metformin, at breakfast. At lunch ...
doctor must have prescribed depending on level of sugar and sugar control . just follow medicine diet chart and regular exercise.
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My hb is 16.4 which precaution for me. I am diabetes for past 15 years and fasting is 110 to 125 and pp is 250 to 300 please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
My hb is 16.4 which precaution for me. I am diabetes for past 15 years and fasting is 110 to 125 and pp is 250 to 300...
only you should take precaution for your diabetes.take refined sugar free food . do regular exercise. Hb is good. no need to bother.
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Steps You Should Follow To Control Hypoglycemia!

Diploma in Diabetology, MBBS
Endocrinologist, Amravati
Steps You Should Follow To Control Hypoglycemia!

Hypoglycemia, commonly referred to as low blood sugar is the condition of the body, when the level of blood sugar falls down below the normal level. This accounts for clumsiness, feeling shaky, feeling confused, losing consciousness, serious seizure. Severe lowering of blood sugar may cause death. You are likely to feel exhausted and very hungry. The symptoms usually show quite quickly.

Hypoglycemia is commonly caused due to diabetes medicine like insulin, sulfonylureas or biguanides. Starving for long hours, over straining the body or extreme alcohol consumption may lead to hypoglycemia. Failure of the kidneys, liver diseases, metabolism disorders also lead to hyperglycemia.

Fall in the the blood sugar level must be taken very seriously and never be ignored. If you feel the symptoms of lowered blood sugar, it is advised that you immediately take a sugar test. You must also indulge in high calorie food items such as sweets or chocolates. You need to increase the glucose intake, so that the blood-sugar level rises up.

Here are some steps you should follow to control hyperglycemia:

  1. Keep away from the practices, which lead to hyperglycemia: The best way of keeping away from hyperglycemia is by taking all measures, which would avoid the condition to develop. The medical schedule of diabetic patients should be closely monitored and optimized by the patient's caregivers. Their lifestyle should be kept under check. It should be ensured that the patients do not skip meals. Insulin should be avoided as much possible.
  2. Discuss problems with the patient: Patients and their guardians must be properly educated about the disease and what important steps they should take, in spite of all kinds of prevention treatments they take. Teach them about the symptoms and the steps to be taken in case of any emergency. Use of glucose tablets should be encouraged. They must know that the process is ongoing. Every patient is different from another and hyperglycemia differs from person to person.
  3. Use glucagon: Glucagon is basically a hormone, which stimulates the liver to release pre-stored glucose all over your bloodstream in case your blood-sugar level falls down steadily. Glucagon is usually injected, and kits are available. Prescribed by doctors, glucagon can be used to treat a person who has fallen unconscious after a fatal reaction due to insulin. You should consult an expert before buying a glucagon kit.

Hypoglycemia is a serious problem. Lowering or fall in your blood sugar level must never be ignored, and measures must be taken to regain your sugar balance immediately. If you wish to discuss about any specific problem, you can consult an Endocrinologist.

3 people found this helpful

Female Infertility - Why the rise, and what goes wrong?

MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology), Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Pune
Female Infertility - Why the rise, and what goes wrong?

Infertility refers to being able to get pregnant after one year of trying. Women who can get pregnant but are unable to stay pregnant are also termed as infertile. Ovulatory disorders are one of the most common reasons why women are unable to conceive and is presen in 30% of women suffering from infertility.

  1. Hormonal problems: Ovulation is linked with a complex balance of hormones and any disruption in the process can hinder ovulation. The disruption includes the fact that the ovaries are not producing normal follicles in which the eggs can mature. Ovulation is rare if the eggs are immature and there are no chances of fertilization. Polycystic ovary syndrome is the most common disorder responsible for infertility. Malfunction of the hypothalamus leading to failure in triggering hormonal stimulus to ovaries for egg maturation leading to immature eggs and ovarian failure. Malfunction of the pituitary gland leading to imbalance in hormonal secretion thus causing disturbance in ovulation. This can occur due to physical injury, a tumour or a chemical imbalance in the pituitary.
  2. Scarred ovaries: Ovulation failure can also be due to a physical damage to the ovaries. Invasive surgeries involving ovarian cysts leads to damaging or scarring of capsule of the ovary to become due to which follicles cannot mature leading to disruption of ovulation.
  3. Premature menopauseEarly menopause or premature menopause before the normal age means that the natural supply of eggs has been depleted. This is most common in extremely athletic women with a history of low body weight and extensive exercise.
  4. Follicle problems: Infertility is also caused due to non-ruptured follicle syndrome in which women who produce a normal follicle, with an egg inside of it, every month but the follicle fails to rupture. This leads to disruption of ovulation as the egg remains inside the ovary.
  5. Others: Treating female infertility by chemotherapy is next to premature ovarian failure by loss of primordial follicles. Sexually transmitted infections are a leading cause of infertility. Tobacco smoking is detrimental to the ovaries and the amount of damage is dependent upon the amount and length of time of exposure of smoke in the environment. Nicotine in cigarettes interfere with the body’s ability to create oestrogen, a hormone that regulates ovulation. In addition, blocked fallopian tubes due to pelvic inflammatory disease or surgery for an ectopic pregnancy also causes infertility. Infertility can also be due to physical problems with the uterus or fibroids of uterus where non-cancerous clumps of tissue and muscle on the walls of the uterus. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
397 people found this helpful

I am diabetic and using insulin. My Serum creatinine is 2.2. How can I reduce to reference level. I am aged 59+. Had 3 Angioplasty and A CABG.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic and using insulin. My Serum creatinine is 2.2. How can I reduce to reference level. I am aged 59+. Had ...
Thanks for the query. Creatinine can be reduced back to normal provided blood glucose levels are maintained with in normal limits like FBG < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. Plus reduce the daily protein intake and take a healthy diet. Thanks.
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Would like to know if normal fasting range is 70 to 110. Then y in sugar lab test report it's showing between 70 to 100. Y there is such deviation in measuring sugar levels. Kindly revert.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Would like to know if normal fasting range is 70 to 110. Then y in sugar lab test report it's showing between 70 to 1...
The criteria set by ADA mentions values as below Normal FBS <100 mg% & PLBS < 140 mg% Borderline or prediabetes FBS 101- 125 mg% & PLBS - 141 - 199 mg% Diabetes - FBS-126 & above.& PLBS 200 & above. HbA1C levels Normal < 5.5 Borderline- 5.5- 6.5 Diabetes- > 6.5.
3 people found this helpful
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I am suffering from Infertility. I have done lots of medicine but can, t improvement. I have tried throw IUI and with donor sperm 2nd time got the success. But miscarriage in 3rd month. After we try 3 times more but can, t success. Please advise I am very upset. Marriage years 7 has been past. My husband has 18 Million count and motility 49% can we get naturally urgency. Please advise.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I am suffering from Infertility. I have done lots of medicine but can, t improvement. I have tried throw IUI and with...
Patience will give you fruits. Resolve any stress you have. You should take pushpdhanva ras 1 tablet twice daily. And ashwagandharista 15 ml bid with equal amount of water after food. And when you become pregnant you should take garbhpal ras 2 tab twice daily with water after food. Avoid food with hot potency after you become pregnant.
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I am 37 years old last 5 years I have sugar. Last week I check my thyroid test. This is my results T3 - 1.06 ng/ml, T4 - 13. 67 mg/dl TSH - 1.39mIU/ml If there is thyroid tell me what to do? Any tablet your suggest? your advice please thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 37 years old last 5 years I have sugar. Last week I check my thyroid test. This is my results T3 - 1.06 ng/ml, T...
Mr. lybrate-user, Thanks for the query. Your thyroid test results are normal. There is no reason to worry. It is important to control your blood glucose effectively with FBG < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. That will help in keeping fit and fine. Thanks.
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I am male 26. Meri 2 majors problems he 1. Hair lose 5-6 year se 2. Constipation 5 year se. To kya muje thyroid ho sakta he? Or thyroid ke lakshan kya he? Please help me. Mene is problems ke liye bahut doctor ko dikhaya. Bahut sari medicine try ki he lekin koi fayda nahi hua.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am male 26.
Meri 2 majors problems he 1. Hair lose 5-6 year se 2. Constipation 5 year se.
To kya muje thyroid ho sa...
Mr. lybrate-user, Thanks for the query. Please give details of Thyroid function test if that has been done. If not then get it done and come back with the results. Then looking at the results I will be able to guide. Results (values of TSH, T4 7 T3) IAap thyroid test kara lijiye aur result jaldi post kariye. Thanks.
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Thyroid Surgery: Types and Its Benefit!

MBBS
General Surgeon, Guwahati
Thyroid Surgery: Types and Its Benefit!

Thyroid is a small butterfly shaped gland, which  is present at the lower frontal region of the neck, right beneath the voice box. It produces hormones which regulate metabolism (the breakdown of food by the body to convert it into energy). It even plays a pivotal role in boosting organ functions as well as in helping the body to sustain heat. However, too much of hormone production by the thyroid gland might yield structural problems, for instance, growth of nodules (abnormal tissue growth) or cysts (non-cancerous sac-like structures containing fluid) and swelling. Hence, a thyroid surgery is a must once these problems occur. The surgery, administered with general anesthesia, eliminates the thyroid gland either wholly or partially.

Why do you need surgery?

  1. The presence of tumors or nodules on one’s thyroid gland is one of the reasons why one should go for the surgery. Although most of the nodules are benign, few can be pre-cancerous or cancerous too. Also, those benign nodules can spell trouble, if they expand in size, thus obstructing the throat. They can be problematic as well if they cause the thyroid gland to overproduce hormones, giving rise to a condition known as hyperthyroidism.
  2. Hyperthyroidism can be corrected through surgery. It is often an outcome of Grave’s disease, an autoimmune disorder wherein the body misidentifies the thyroid gland as a foreign body, thereby creating antibodies to combat it. The thyroid gland gets inflamed in the process, resulting in the overproduction of hormones.
  3. Another reason is the enlargement or swelling up of the thyroid gland, termed as goiter. Similar to large nodules, goiter too can clog the throat, thus interfering with one’s breathing, speaking and eating.

Types of Surgery

  1. Lobectomy: This procedure calls for partial removal of the lobes when a nodule or an inflammation affects just half of the thyroid gland.
  2. Subtotal Thyroidectomy: Here, a small proportion of the thyroid tissue is left behind even after the elimination of the thyroid gland.
  3. Total Thyroidectomy: Through this procedure, the entire thyroid gland is taken out along with the thyroid tissue.
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