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Dr. Milind Patil  - Endocrinologist, Pune

Dr. Milind Patil

90 (61 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM...

Endocrinologist, Pune

11 Years Experience  ·  700 - 1000 at clinic  ·  ₹800 online
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
Dr. Milind Patil 90% (61 ratings) MBBS Bachelor of Medicine and Bachelor of Surgery, MD - I... Endocrinologist, Pune
11 Years Experience  ·  700 - 1000 at clinic  ·  ₹800 online
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Milind Patil
I had done MBBS M.D. MEDICINE from BJMC. I had done DM ENDOCRINOLOGY FROM JIPMER. I had done DNB ENDOCRINOLOGY. Had worked in multiple hospitals in Mumbai. At present I am working at Jupiter hospital Pune, Ruby Hall Clinic and INLAKS Budrani Hospital Pune. I am having private OPD at Camp Pune

Info

Education
MBBS Bachelor of Medicine and Bachelor of Surgery - BJMC Pune - 2008
MD - Internal Medicine - BJMC Pune - 2012
DM - Endocrinology - JIPMER, Pondicherry - 2016
...more
DNB (Endocrinology) - Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry) - 2017
Languages spoken
English

Location

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Shri Swami Diabetes Thyroid and Endocrinology Clinic

Shop No.104, West Wing, Arora Towers, Landmark : Arora TowerPune Get Directions
  4.5  (61 ratings)
700 at clinic
...more

Ruby Hall Clinic

40, Sasoon Road Landmark: Above Mont Blanc & Opposite Millenium Star Building Dhole Patil RoadPune Get Directions
  4.5  (61 ratings)
800 at clinic
...more

Jupiter HOSPITAL

Mahatma Jyotiba Phule Bridge, Near Prathamesh Park Road, BanerPune Get Directions
  4.5  (61 ratings)
1000 at clinic
...more
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Patient Review Highlights

"Helped me impr..." 2 reviews "Practical" 1 review "Very helpful" 6 reviews "Saved my life" 1 review

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Hi, I was suffering from cushing's disease. I had a surgery and radiotherapy. Still my cortisol level is high.

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Cushing is disease where patient requires multiple treatments at multiple session. It is not happy answer but its reality. You will have to consult the hospital. There are 3 options in such scenario 1 repeat surgery 2 drugs to control cortisol level 3 adrenalectomy nearest best place for you is aiims delhi. The treatment will vary according to each patient.
1 person found this helpful

Why is the insulin mixtard administered during the day and actrapid administered at night?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Why is the insulin mixtard administered during the day and actrapid administered at night?
There are multiple regimens of insulin. So both mixtard and actrapid can be given in morning afternoon and evening.
3 people found this helpful

How much diet is equal balanced to masturbate one time? After it, what food is needed to eat? Does masturbation is related to height grow and weight loss?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
How much diet is equal balanced to masturbate one time?
After it, what food is needed to eat? Does masturbation is re...
No its not related to height gain and weight loss. Do not worry you can masturbate without thinking about it.
1 person found this helpful

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 sugar and increased complications of diabetes. It affects the quality of life of the patient.

How we can break the cycle?

1. 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.

2. Psychotherapy

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

3. 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.

4. 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.

2023 people found this helpful

Hi, My wife she is diabetic last month she is suffered low platelet, dengue serology test is positive at last treatment is clear patient is ok but for this time sugar label is high 400+ my question why sugar label high? Yet this time tab ciclosporin 25 mg & prednisolone is 20 mg, insulin human mixtard given.

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Hi, My wife she is diabetic last month she is suffered low platelet, dengue serology test is positive at last treatme...
Multiple issues can lead to increase in sugar. Like Prednisolone stress infection poor diet and inadequate doses of insulin. Better talk with your primary consultant.

Hi Sir, my mother can't control her stool last one year and she is diabetic last 20 year.

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Hi Sir, my mother can't control her stool last one year and she is diabetic last 20 year.
It is called diabetic diarrhoea patient need investigation as the treatment will depend upon its cause.

My 11 year son is suffering from growth hormone deficiency? What treatment is available for this and what are possible side effects of growth hormone therapy? Thanks.

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
The treatment for growth hormone deficiency is to replace growth hormone. Some immediate side effects may occur in terms headache leg swelling bodyache.

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 in which extra antibodies are produced 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. Premature graying of hair
  4. Autoimmune disorders like type 1 diabetes, rheumatoid arthritis, vitiligo, celiac disease, Addison’s disease and many more.
  5. Bipolar disorder
  6. Turner’s syndrome
  7. 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 unusually or great difficulty in losing 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.

1930 people found this helpful

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!

1761 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
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