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Dr. Narendra S Javadekar

Endocrinologist, Pune

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Dr. Narendra S Javadekar Endocrinologist, Pune
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Narendra S Javadekar
Dr. Narendra S Javadekar is a popular Endocrinologist in Karve Nagar, Pune. He is currently associated with Shree Clinic in Karve Nagar, Pune. Book an appointment online with Dr. Narendra S Javadekar and consult privately on Lybrate.com.

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Laxmi Terrace, 49/99 Shop, Daily, Karvenagar , PunePune Get Directions
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Thyroid Symptoms in hindi - थायराइड के लक्षण

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Thyroid Symptoms in hindi -  थायराइड के लक्षण

शरीर में ऐसे कई बदलाव होते हैं जिनको हम पहले तो हल्के में लेते हैं और बाद में यह हमारी लिए किसी गंभीर रोग का संकेत निकलते हैं, जैसे थाइरॉइड को ही ले लिया जाए। थायरॉइड की समस्या भी कुछ ऐसी ही है। जो सामान्य शारीरिक समस्या से इस गम्भीर बीमारी तक पहुंचा देती हैं और हम इसे समझ पाए तब तक बहुत देर हो चुकी होती है।  अक्सर थाइरॉइड के लक्षणों को हम शुरुआती दौर में भांप ही नहीं पाते हैं और बाद में इसके लक्षणों की अनदेखी हमें हाइपोथाइरॉइड या हाइपरथाइरॉइड की स्थिति तक पहुंचा देती है। थाइरॉइड हमारे शरीर में मौजूद ऐसी ग्रंथि है जो मेटाबॉलिज्म में मदद करती है। इसमें मौजूद हार्मोन टी3, टी4 और टीएसएच का स्तर कम या ज्यादा होने से समस्या होती है। अगर आप इन लक्षणों को महसूस कर रहे हैं तो हो सकता है ये आपके लिए थाइरॉइड की समस्या का संकेत हों

1. थकान
थायराइड की समस्या के उत्पन्न होने पर सबसे पहले व्यक्ति अपने आप को थका हुआ और आलस से भरा हुआ महसूस करने लगता है। वो सुस्त ह जाता है। इसका मुख्य कारण होता है शरीर में ऊर्जा का ना बनना और शरीर में ऊर्जा ना बनने का कारण थायराइड ग्रंथि के हार्मोन ना बनने से होता है।
2. कब्ज 
थायराइड से पीड़ित व्यक्तियों को पाचन तंत्र से जुडी समस्यायें होने लगती है जिसकी वजह से उन्हें खाना पचाने में दिक्कतों का सामना करना पड़ता है और जब खाना नही पचता तो उससे कब्ज की समस्या का उत्पन्न होना निश्चित होता है
3. जोड़ों में दर्द 
थकान के साथ ही थायराइड के रोगियों को जोड़ों जैसे घुटनों, कमर, गर्दन में दर्द रहने लगता है। इन्हें शारीरिक के साथ साथ मानसिक समस्यायें भी उत्पन्न होने लगती है। जिनकी वजह से व्यक्ति तनाव की स्थिति में भी पहुँच जाता है।
4. रूखी त्वचा 
थायराइड से परेशान लोगों की त्वचा के ऊपर वाले सेल्स की कार्य क्षमता कम होने लगती है यानी स्किन डेड होने लगती है। जिसकी वजह से उनकी त्वचा रुखी हुई, सफेद और सुखी शुष्क नजर आने लगती है। इसके साथ ही इनके शरीर पर कुछ निशान भी हो जाते है।
5. जुखाम 
थायराइड का सबसे स्पष्ट लक्षण होता है जुखाम। ये कुछ सामान्य जुखाम नही होता बल्कि थोडा अलग होता है। जिससे व्यक्ति बहुत परेशान होता है और ये जल्दी से ठीक भी नही होता। 

6. हेयर फॉल होना
थायराइड के खास सिम्पटम्स में से एक है हेयर फॉल होना। इस रोग में इन्हें गंजेपन तक का खतरा रहता है। इसके अलावा उनके भौहों के बाल तक झड़ने लगते है। ये स्थिति गंभीर अवस्था तक पहुँच जाती है।
7. डिप्रेशन 
क्योकि थायराइड की समस्या के कारण मन में चिंता और तनाव का अहम होता है तो चिंता की वजह से उत्पन्न होने वाले अन्य सबसे बड़े रोग डिप्रेशन का होना भी इसका एक लक्षण होता है। इस स्थिति में व्यक्ति का ना तो किसी कार्य में मन लगता है और ना ही उसका किसी से बाट ही करने का मन करता है। साथ ही दिमाग पर अधिक दबाव डालने से उसकी सोचने समझने और याददाश्त की क्षमता में भी कमी आ जाती है।
 
8. प्रतिरोधक क्षमता में कमी आना
थायरॉइड समस्या में व्यक्ति के शरीर के वाइट ब्लड सेल्स के कम होने की भी संभावना होती है। जिससे इनके शरीर को अन्य बीमारियों से संक्रमण का भी खतरा बना रहता है। साथ ही इम्यून सिस्टम के कमजोर होने की वजह से इनकी रोगों से लड़ने की क्षमता पर भी प्रभाव पड़ता है।

9. खाना खाने में तकलीफ
थायराइड से पीड़ित व्यक्ति के गले में सुजन होने की वजह से उसे खाना खाते वक़्त गले में दर्द होना शुरू हो जाता है। इस वजह से ऐसे लोग सही तरह खाना नही खा पाते नतीजन पीड़ित का  वजन कम होने लगता है।

10. हाथ पैर ठन्डे होना 
ठन्डे हाथ पैर होने से हमारा मतलब रक्त स्त्राव के कम होने से या शरीर के तापमान के नीचे गिर जाने से बिलकुल नही है बल्कि इस अवस्था में पीड़ित का शरीर का तापमान तो सामान्य व्यक्ति जितना ही रहता है किन्तु फिर भी उसके हाथ पैर ठन्डे पड जाते है।

2 people found this helpful

I am a 44 year old male. Since last one year I am suffering from nocturia. I am forced to wake up for almost five times a night. I am not diabetic. However I snore loudly and breath through my mouth. I am 5 feet 9 inch tall and 88 kilos in weight. Please help. Vsk.

BAMS
Ayurveda, Bangalore
I am a 44 year old male. Since last one year I am suffering from nocturia. I am forced to wake up for almost five tim...
Hi, please follow these tips to stop snoring: - reduce your weight if you are obese. - perform pranayama (breathing exercises) everyday. - quit smoking which irritates the mucosal layer of the nose and throat and causes blockage and results in snoring. - quit alcohol and sedatives which relax the throat muscles and results in snoring. - sleep on sides instead on back. - elevate the head by using a thick pillow which eases the breathing. - clear the nose before going to bed. - establish regular sleep pattern. - keep the bedroom air moist by using humidifier; as dry air irritates the mucosal membrane in the nose and throat. - perform throat exercises like repeating the vowels a, e, i, o, you loudly for 2-3 mins few times a day or keeping the tongue behind the teeth and moving it backwards - 3-4 times a day. - anti snoring appliances can also be used.
1 person found this helpful
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Control The Type-2 Diabetes By Changing Diet And Lifestyle!

Ph.D(Clinical Nutrition), M.Sc(Foods&Nutrition
Dietitian/Nutritionist, Delhi
Control The Type-2 Diabetes By Changing Diet And Lifestyle!

Diabetes is a lifestyle disease, with the incidence mainly increased by changing lifestyles including food habits and sedentary way of life. How does it happen? The sugar that is consumed is metabolized by a hormone known as insulin. Diabetes can occur due to two reasons:

  • Reduced amount of insulin production
  • Increased amount of sugar levels beyond what the produced insulin can metabolize.

Risk factors: Diabetes can be genetic, but in most cases, it is acquired and the following are risk factors for the same.

  • Ethnicity (Hispanics, Latino Americans, Afro-Americans, etc.)
  • Dietary habits including excessive consumption of sugar(s), refined foods, processed foods
  • Impaired glucose tolerance
  • Developing resistance to insulin (thereby increased sugar levels)
  • Decreased amount of dietary fiber

Symptoms:

Management through Lifestyle changes:
Diabetes 1 which requires insulin is not preventable but type 2 diabetes is easily manageable through lifestyle changes. This can prolong the onset of getting diabetes and reduce the severity of the disease. It also helps reduce complications. This would require a combination of diet, lifestyle changes, and healthcare.
Diet:

  • Sugars are the main culprit, and refined sugar consumption should be reduced.
  • Oils, white rice, refined flour, processed foods, packaged foods, canned foods, etc. also to be reduced.
  • Increase the amount of fresh fruits and vegetables. This helps reduce calories and also increase fiber consumption.
  • When it comes to fats, increase consumption of unsaturated fatty acids and reduce saturated fatty acids.
  • Sufficient hydration ensures the toxins are washed off and the tissues are well hydrated.
  • Pack the diet with essential vitamins, minerals, and antioxidants. Diabetes is considered a chronic inflammatory process, and including antioxidants in your diet ensures that the buildup of toxins is reduced and inflammation is controlled.
  • Avoid eating large portions at any meal. Small, frequent meals ensure the body receives an even spread of calories.
  • The size of the meal should reduce as the day goes along.

Lifestyle:

  • A routine exercise regimen helps in weight management, improved insulin function, and reducing fat accumulation. Pick what works for you - jogging, cycling, running, swimming, brisk walking, etc.
  • Quitting smoking has multiple benefits, and improved diabetes control is just one.
  • Weight management: Weight needs to be constantly monitored for deviations and immediate course corrections to be done
  • Stress management: Stress is a risk factor for diabetes and controlling stress helps improve diabetes control
  • Vigilance and Monitoring: Sugar levels need to be constantly monitored. Higher sugar levels or missed doses should be immediately corrected.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3384 people found this helpful

I am diabetic since one year HB1ACis 8.2 fasting sugar is 135 pp 180 taking DimicronXR500. Earlier it was 6.3 recently due to one week fast all messed up. I need a diet plan and modification in medicine the ratio is 180. Vit. B12 is very low. Thank.

MBBS
General Physician, Cuttack
I am diabetic since one year HB1ACis 8.2 fasting sugar is 135 pp 180 taking DimicronXR500. Earlier it was 6.3 recentl...
1.Do regular aerobic exercise for 1 hour daily (brisk walking, jogging,running, swimming,cycling etc) 2.Reduce weight if overweight 3Control diet a) Avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) Avoid sweetened fruit like banana, mango,litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (Akhrot) e) Avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi, moong and chana Dal. F) Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) Avoid red meat. Take fish/chicken. H) Avoid alcohol and carbonated drinks like soft drink 4.Adhere to a strict diabetic diet by consulting Dietitian 5.Monitor your fasting, PP blood sugar 3 monthly and HbA1c six monthly 6.Consult diabetologist for advice and treatment.
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I tested blood glucose level in the morning after breakfast. It came out to be 248. And tested it after 4 hours without eating. It was 243. I'm really worried with this level. Checked for symptoms but except frequent thirst and frequent urination don't have any other symptoms.

MBBS, DNB (General Medicine)
General Physician, Delhi
I tested blood glucose level in the morning after breakfast. It came out to be 248. And tested it after 4 hours witho...
Your glucose levels are well above the normal range- qualifying you as a diabetic. Unfortunately, diabetic symptoms are not standardised and not all patients suffer from the symptoms. The most important information for diagnosis is the glucose level which you have just shared here. Hence, without any doubt- please plan your further treatment for diabetes.
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My mother in law 56 years, 76 kg weight, height 5 ft3 inch, known diabetic for 10 years, hypothyroidism taking thyroxine 100 mg daily ,taking insulin, undergone angiography and single artery standing 1 year back, taking all required medication and regular follow up, takes an anti anxiety medication called depolv 37 (mixture of imiprime plus 2 more drugs].recently did a nuclear myocardial perfusion study, which came out normal. Yet she constantly complaint of pain in upper left chest area and breathless on getting up stairs and on getting up from toilet. No physical activity as she feels exhausted after few rounds of slow walk. Feels drowsy all dsy and remain lie down on bed day long and gets less sleep in night. Consulted all the relevant doctors, who gave same impression of all normal state and advised her proper diet and physical work out. She has weak mental strength so gets panicked easily. So I request for suggestions to get her back to normal state. Please help ‌I'm a dental surgeon by profession, so if the below interpretation help you, please go thru. She is already on ecosprin, atorvastatin,metoprolol, nitrocontin,ranulaz500, thyroxine100 mg,Metformin 500 mg twice daily, brilinta90 mg,insulin (mixed 30 twice daily 20 units morning and 12 units night. Antienxiety drug depolv 37 bed time. Her recent lipid profile is normal, so as the renal, liver profiles only the tsh was 21, so increased the does from thyroxine25 mg to 100 mg. As per her treating cardiologist all vitals regarding heart is fine. He gave a impression of psychosomatic pain. As per his suggestion myocardial perfusion test under stress was done which also came normal. Her Hb1AC was 7 and ppbs was 170 mg/dl. Creatinine is within normal range, so as the calcium, CBC and urine findings. Please suggest.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
My mother in law 56 years, 76 kg weight, height 5 ft3 inch, known diabetic for 10 years, hypothyroidism taking thyrox...
lybrate-user, Thanks for the query. I have gone through the details given and understand your concern. Her diabetes looks under control, which is excellent. Similarly het hypothyroidism also needs to be controlled effectively. Because if she feels tired or gets fatigued, that could be due to high TSH. On treatment it should be < 3 mU/L. Then only all the symptoms related to hypothyroidism are in check. So my suggestion please check her TSH, if it is still above the recommended level then you will have to increase the dose by another 12.5 to 25 mcg per day. Thyroxine should be taken early morning on empty stomach and nothing else should taken for next 1 to 1 and half hour. This has to be strictly adhered to. You will have to motivate her to get up and walk initially at home, in front of the house and later in a near by park. Daily walking for about 30 to 45 minutes will make her feel fresh. She is already on enough medications. Thanks.
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Will usage of protein powder/ mass gainer causes infertility? Pls give me proper answer.

MBBS, MS
Gynaecologist, Delhi
Will usage of protein powder/ mass gainer causes infertility?
Pls give me proper answer.
Mass gainers have androgen. Not good as Tara s fertility issues esp in females. Males no known effect per se but synthetic androgens shown to decrees fertility. Better to avoid.
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What fruits can we eat? While having my fasting 109 and pp 166 ,creatinine 1.31.am not taking any medicines for sugar as healing naturally is my motto .with curb on sugar and fats & exercises. Only bp medication cilacar 10 and febutaz in the morning and eltroxin 100 mg after brushing early morning.

MD - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Endocrinologist, Indore
What fruits can we eat? While having my fasting 109 and pp 166 ,creatinine 1.31.am not taking any medicines for sugar...
1.Exercise Regularly 2.Control Your Carb Intake 3.Increase Your Fiber Intake 4.Drink Water and Stay Hydrated. 5.Implement Portion Control 6.Choose Foods With a Low Glycemic Index. 7.Control Stress LevelsMonitor Your Blood Sugar Levels.
1 person found this helpful
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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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