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Shri Swami Diabetes Thyroid and Endocrinology Clinic, Pune

Shri Swami Diabetes Thyroid and Endocrinology Clinic

  4.4  (42 ratings)

Endocrinologist Clinic

Shop No.104, West Wing, Arora Towers, Landmark : Arora Tower Pune
1 Doctor · ₹700 · 3 Reviews
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Shri Swami Diabetes Thyroid and Endocrinology Clinic   4.4  (42 ratings) Endocrinologist Clinic Shop No.104, West Wing, Arora Towers, Landmark : Arora Tower Pune
1 Doctor · ₹700 · 3 Reviews
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About

Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about Shri Swami Diabetes Thyroid and Endocrinology Clinic
Shri Swami Diabetes Thyroid and Endocrinology Clinic is known for housing experienced Endocrinologists. Dr. Milind Patil, a well-reputed Endocrinologist, practices in Pune. Visit this medical health centre for Endocrinologists recommended by 55 patients.

Timings

MON-SAT
06:00 PM - 08:00 PM

Location

Shop No.104, West Wing, Arora Towers, Landmark : Arora Tower
Camp Pune, Maharashtra - 411001
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Doctor in Shri Swami Diabetes Thyroid and Endocrinology Clinic

Dr. Milind Patil

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
87%  (42 ratings)
10 Years experience
700 at clinic
₹800 online
Unavailable today
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Prolactinoma - Is There A Treatment For It?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Prolactinoma - Is There A Treatment For It?

The body functions are controlled by hormones which are produced by various endocrine glands (named so because these glands secrete hormones directly into the body). There are various endocrine glands, and these are controlled by the master endocrine gland which is the pituitary gland.

The pituitary gland produces prolactin which helps regulate milk production when a woman is breast-feeding. To a smaller extent, it also has some effect on other hormones.

Prolactinoma is a benign tumour of the pituitary gland which produces large amount of prolactin. The cells in the pituitary gland multiply to produce large amounts of prolactin. In people with prolactinoma, there are reduced amounts of oestrogen in females and testosterones in males.

Causes: Though the cause is unknown, a genetic connection believed to exist. They can develop in men as well.

Types: Depending on the size of the tumour, the tumour is of two main types—microprolactinoma (when the tumour measures less than 10 mm) and macroprolactinoma (when the tumour measures more than 10 mm).

Signs and symptoms: Though the most important function of prolactin is the regulation of breast milk production, it also has various other functions in both men and women. The symptoms, therefore, would depend on the gender and the age group.

Men: Reduced libido, erectile dysfunction, reduced fertility, and gynecomastia and sometimes even production of milk.

Women: Menstrual disorders, including lack of periods or irregular periods, reduced fertility, reduced libido, increased facial hair, and spontaneous leakage of milk from the breasts.

In addition to the above symptoms, as the tumour continues to grow, there could be pressure on the surrounding nerves, leading to headaches, blurred of vision, and even double vision. As the tumour grows, the normal pituitary functioning may be affected, and other hormones may not be produced and accordingly the symptoms would appear.

Treatment: 

It is the only pituitary tumor which shrink in size with drugs known as dopamine agonist. Patient might require the treatment for 2-3 years. In some cases surgery and radiotherapy is needed.

So, the answer to the question is yes there is treatment for Prolactinoma and its medicine  in majority of the cases.

Consult your endocrinologist for details!

1760 people found this helpful

Eating Disorders - How To Manage Them In Case Of Diabetes?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Eating Disorders - How To Manage Them In Case Of Diabetes?

Diabulimia is a type of eating disorder in which patients of Type 1 diabetes take less amount of insulin purposely, in order to lose weight. These patients have excessive concerns related to body weight and body shape, and a disturbed body image emerges (regarding oneself overweight despite a normal or reduced body weight). These patients attribute too much importance to body weight and body shape and fear of gaining weight

Our body requires insulin for moving glucose from the blood to the cells. In type 1 diabetes patients, the pancreas stop producing insulin and glucose gets stored in our bloodstream. Kidney excretes excess glucose leading to increased urination. The body gets devoid of glucose and the calories associated with it and a rapid loss of weight occur.  Once the patient is started on insulin they develop weight gain. Patient with disturbed body image stops insulin in order to lose weight. Patients develop binge eating,  with more emphasis on sugar and carbohydrate enriched foods. The excess sugar gets out of the body by urinating.
Symptoms including excessive thirst, increased water intake, increased urination, and weakness are observed in the early period, irreversible findings including neuropathy, retinopathy, nephropathy, and osteoporosis, which occur in poorly controlled diabetics, are observed in the long term. It has been proven by research that almost 30% of type 1 diabetes patients are the ones who abstain from or avoid using insulin in order to lose weight. This habit leads to the risk of many other fatal diseases which may be permanent in nature.

Prevention

Diabulimia is more common among teenage girls who suffer from type 1 diabetes and are generally obsessed with body image. Proper patient education can help a lot in these patients.  It is advised not to neglect your insulin.
 

1 person found this helpful

Low On Thyroxine - Know What Does It Signify!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Low On Thyroxine - Know What Does It Signify!

Do you have an extremely low reading of thyroxine or T4, it means that you are suffering from an under active thyroid disease called hypothyroidism. With this condition, your thyroid glands fail to make sufficient thyroid hormones. The thyroid gland releases hormones, which travel all over your bloodstream and affect all parts of the body. Thyroid controls how the cells of the body use energy from food via the metabolism process, which in turn affects the body’s temperature, heartbeat and burning of calories. Lack of thyroid hormones slows down the body’s functions, reduces your energy and the metabolism is disrupted.

Causes of hypothyroidism
The primary cause of this condition is Hashimoto’s thyroiditis. Thyroiditis refers to an inflammation of your thyroid gland. Hashimoto’s thyroiditis is an autoimmune disorder which destroy the thyroid gland. Viral infections may also lead to thyroiditis.

Other causes of the condition are as follows:

  1. Radiation therapy to the neck region for the treatment of several cancers like lymphoma may damage the cells present in the thyroid gland. Hence, the gland cannot secrete hormones properly.

  2. Radioactive iodine treatment is undertaken by people having an overactive thyroid gland. Radiation destroys the thyroid gland cells and leads to hypothyroidism.

  3. Certain medicines used to treat heart problems, cancer and psychiatric diseases may affect the thyroid gland and lead to hypothyroidism.

  4. Surgeries undertaken for removing the thyroid also lead to hypothyroidism.

  5. Iodine is required by the thyroid gland to produce hormones. A low amount of iodine in your diet and body may lead to hypothyroidism.

Risks factors of hypothyroidism
Usually women, especially older women are more likely to get hypothyroidism than men. The factors which determine if you are at a risk of acquiring the condition are as follows:

  1. Race

  2. Age

  3. Autoimmune disorders like type 1 diabetes, rheumatoid arthritis, vitiligo, celiac disease, Addison’s disease and many more.

  4. Bipolar disorder

  5. Turner’s syndrome

  6. Down’s syndrome

The symptoms of hypothyroidism are as follows:

  1. Changes in menstrual cycle

  2. Constipation

  3. Hair loss and dry hair

  4. Fatigue and tiredness

  5. A slow heart rate

  6. Depression

  7. An increased sensitivity towards cold

  8. Swelling of the thyroid gland or goiter

  9. Gaining weight

  10. Carpal tunnel syndrome

If you observe the symptoms of hypothyroidism, you should consult a doctor who will prescribe several blood tests, such as the thyroid stimulating hormone test and the T4 or thyroxine test. Based on the results, a treatment method is adopted.

 

Diabetes And Depression - Understanding The Vicious Circle They Create!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Diabetes And Depression - Understanding The Vicious Circle They Create!

Diabetes is one major silent killer. Depression is another silent killer. According to the studies, a patient with diabetes has higher chances of getting depressed. Lack of social support, staying alone, lower income, the presence of diabetes complications and poorly controlled diabetes increase chances of depression in diabetes patients. Similarly depressed patient is at increased risk of development of diabetes. Thus, depression and diabetes have a cyclic relationship.

Need to break

It is very important to break the vicious cycle as it can affect the sugar control, quality of life and patient care. The depressed patient is less likely to follow diet and exercise. They do not take medicines regularly. The depressed patients will have bad control of sugars and increased complications of diabetes. It affects the quality of life of the patient.

How we can break the cycle?

Speak out

Depression remains underdiagnosed and untreated. One of the reason is the stigma associated with psychiatric illness in the society. Unless and until patient doesn't talk about it they are not going to improve. Hence ADA recommends evaluating for depression in patients with poorly controlled diabetes.

Psychotherapy

Psychotherapy or in particular cognitive behavioral therapy has been proven beneficial towards treating depression.

Regular Exercise

Regular exercise is very beneficial towards treating, both depression and diabetes. Exercise helps regulate blood sugar levels and hence can help control diabetes. It also helps in reducing excess weight, which can enhance your self-image and make you feel happier. Simultaneously, it also releases endorphins or the 'feel good' brain chemical. This can help alleviate depression symptoms.

Antidepressant

These are the medicines given to improve depression. Under the guidance of a psychiatrist, they help a lot. So don't say no to these medicines when prescribed by the psychiatrist.

1 person found this helpful

Hypoglycemia - Why Is This Situation Bad For You?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Hypoglycemia - Why Is This Situation Bad For You?

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 lead to 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. Starving for long hours, over straining the body or extreme alcohol consumption may lead to hypoglycemia. Failure of the kidneys, liver diseases, sever infection, adrenal insufficiency, growth hormone deficiency and rare disease called insulinoma also lead to hypoglycemia.

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. If you cant take sugar test take immediately some carbohydrate rich food like sugar, jaggery, honey, chocolates, biscuits. After eating wait for 15 minutes. If  you still feel uncomfortable repeat the carbohydrate intake. Once settled you need to consult Endocrinologist.

You need to increase the glucose intake, so that the blood-sugar level rises up.

Here are some steps you should follow to control hypoglycemia.

  1. Keep away from the practices which lead to hypoglycemia: The best way of keeping away from hypoglycemia 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.
  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. They must know that the process is ongoing. Every patient is different from another and hypoglycemia differs from person to person.
  3. Glucagon: It is the hormone which increases the blood glucose levels. You need to consult your Endocrinologist before use of glucagon.

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.

1736 people found this helpful

Is there any cure or treatment for hypothyroidism? And how much would it cost for thyroid test in Hyderabad!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Is there any cure or treatment for hypothyroidism?
And how much would it cost for thyroid test in Hyderabad!
There is treatment for thyroid disorders. Cure can be there for few of it problem. Generally THYROID test cost will be same all over India. It varies between 300 to 1000 rs depending upon number of test.
1 person found this helpful
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I have thyroid from 5 years. My age is 27. Last year report tsh level was 6.66 and I use to take medicine electroxin 75 mg now its 8.40 so how much mg now should be taken?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
There are multiple reasons for high TSH despite being on treatment like not taking medicine regularly, taking at wrong time, food interaction, drug interaction, malabsorption, lab issue. So it's my advice to consult doctor in person.
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I am 54 years old and my vagina has become dry (i am having Diabetes since last 13 years) and so its painful drink and after intercourse please can you suggest treatment like a cream?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
I am 54 years old and my vagina has become dry (i am having Diabetes since last 13 years) and so its painful drink an...
Yes you may require hormonal cream or hormone tablet. Basically it is known as Hormone Replacement Therapy. In post menopausal women we can prescribe the hormonal therapy. But there are some contraindications to start it. Some patient can have increased risk of breast cancer. For all these things you will have to consult your doctor. If you are suitable candidate then you may be prescribed cream.
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I am having bacterial infections 31/01/2018 to till now on right lower foot black and red also loose sensation bottom of foot.Please suggest.

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
I am having bacterial infections 31/01/2018 to till now on right lower foot black and red also loose sensation bottom...
Bacterial infection needs treatment according to the organisms inhabiting it. If it's just wound and not infected regular dressing is needed. In addition sugars should be controlled adequately. The other issue is numbness of foot. It indicates that nerves are damaged by diabetes. Unfortunately we can't repair the damaged nerve. HOWEVER WE CAN PROTECT THE LIMB. Don't walk barefoot use diabetic footwear made up of MCR material.
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