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Dr. Nilesh Patil

Endocrinologist, Pune

500 at clinic
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Dr. Nilesh Patil Endocrinologist, Pune
500 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Nilesh Patil
Dr. Nilesh Patil is a trusted Endocrinologist in Fatima Nagar, Pune. You can meet Dr. Nilesh Patil personally at Inamdar Multispeciality Hospital in Fatima Nagar, Pune. Book an appointment online with Dr. Nilesh Patil on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 43 years of experience on Lybrate.com. You can find Endocrinologists online in Pune 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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Inamdar Multispeciality Hospital

15,KPCT Mall, Fatima Nagar,Pune Get Directions
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My mother suffering from diabetic and kidney problems at last 1 year doctors advise foe deyalice but we can't do that her creatinine level 9.0 pls help me what we do.

MPhil ( Foods and Nutrition), M.Sc.(Food Service Management and Dietetics)
Dietitian/Nutritionist, Bangalore
My mother suffering from diabetic and kidney problems at last 1 year doctors advise foe deyalice but we can't do that...
Hi, I'm a Renal Dietitian. Accordingly I insist that effective diet control is very much necessary to manage sugar, creatinine, electrolytes and protein. Do contact me for any help.
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Thyroid produces t3, t4 and calcitonin for calcium absorption. My gland is attacked by immune system and producing nill of these. I'm on eltroxin now, thyroid hormones are replaced orally, what about calcitonin? Some doctors say it will be corrected by replacing thyroid hormones itself, how?it us a different entity right?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr Rakesh, Thanks for the query. In autoimmune thyroiditis(Hashimoto's Thyroiditis), thyroid secreting cells are affected, leading to less of thyroxine hormone. Calcitonin is secreted by parafolicular cells (C- cells), those also may be affected and there can be certain deficiency of that hormone also. However, that is unlikely to cause any noticeable problem. But it is better to look at the bone health of the patient. as there is a possibility of affection. But there is no obvious need for calcitonin supplement in hypothyroidism. Thanks.
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Hi I have blood sugar 120 fasting & 145-155 after food. What I do for reduce it. I have taken one tablet of guloconorm Sr.

MD - Medicine, MBBS
Cardiologist, Panchkula
1. Try to reduce weight if overweight. 2. Do regular exercise. 3. Avoid sugar rich diet. 4. Avoid fats and oily food. 5. Increase fiber intake.
2 people found this helpful
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Doctor I having problems of diabetes so doctor tell me the solutions off what can I do daily basis from what can you eat or not not.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Doctor I having problems of diabetes so doctor tell me the solutions off what can I do daily basis from what can you ...
Hye, Thanks for the query. For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history. Though you can follow some guidelines - The sugar levels will fluctuate depending on what you ate or did not eat, stress levels and activity levels. You have to try and manage a balanced carb intake. Have small frequent meals. Do not fast for long hours. You have to eat 3 main and 3 mid meals. Your diet must include whole grains, seasonal fruits, vegetables, small amounts of nuts and dairy and pulses or dals or lean meats like chicken or fish and egg. Starchy vegetables need to be planned into the diet. Avoid a very heavy meal at one time. Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery or sugar. Avoid junk foods. Exercise and stay active. Avoid exercise if sugar levels are above 250mg/dl. Do not attempt to try out too many remedies as you could go into hypoglycaemia. Sleep well.            It's all a matter of discipline.
2 people found this helpful
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My uric acid is 7.4 my body is so painful .please tell me about its recovery and all.

MBBS, PG Diploma In Emergency Trauma Care, Fellowship in Diabetology
General Physician, Bangalore
My uric acid is 7.4 my body is so painful .please tell me about its recovery and all.
Hello thanks for your Query. I feel 7.4 is not that high. Stop taking oil and non veg specially red meat. rest all walking, exercise with small doses anti-inflammatory to be pain free.
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Im having b. P, diabetes, thyroid Im suffering with severe tinglings in my legs and palms. Its very paining. When I walk in my house legs r swell. Im unfit for journeys my legs r paining too much.

M.Sc - Psychology, MBA (Healthcare)
General Physician, Kangra
Im having b. P, diabetes, thyroid
Im suffering with severe tinglings in my legs and palms. Its very paining. When I w...
most probably you are having these symptoms due to diabetic neuropathy or due to thyroid.control your diabetes and thyroid...cap pregastar 75 mg once a day will hekp
3 people found this helpful
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I am 35 years old male. I am taking the eltroxin 100 tablet for 12 years for the thyroid disease. So there is only a managing of the tsh value. So I would like to avoid use of tablet. Is the operations is a way for this. I would like to fix my tsh value in normal range avoiding tablet. Please give a me a right advice for this.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 35 years old male. I am taking the eltroxin 100 tablet for 12 years for the thyroid disease. So there is only a ...
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 consut doctor on time.
1 person found this helpful
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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
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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My husband doesn't have any alcohol r ciggerates habits his weight is 65 nd 30 years he went to urologist but he said you never get a children you adopt a child he told n he did fsh n scanning too so wt to do this problem please help me would I go for ivf for children.

M. S. in Psychotherapy and Counselling
Psychologist, Jaipur
My husband doesn't have any alcohol r ciggerates habits his weight is 65 nd 30 years he went to urologist but he said...
Yes, you may go for ivf and have a biological child of yours. Prior to this I would suggest you to go for infertility counselling. If you want, I may take a session on it.
1 person found this helpful
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I am having hypothyroid. Level is 7.wait will increase, can not able to walk. Heavy pain too. And also by sexually not interested. I dnt know y.I have two children's both r born by c section. Back pain also too high. I like to know is there any way to reduce thyroid and weight. And also the sexual issues.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I am having hypothyroid. Level is 7.wait will increase, can not able to walk. Heavy pain too. And also by sexually no...
Hello, You need a food diet along with some Counseling. Please do not get depress over your weight. Everything is connected to your self motivation. Love yourself and respect your body. Set realistic goals and ensure you are able to eat right food prescribed by a Nutritionist.
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What is Diabetes? How we come to know about Diabetes? what precautions we have to Take to Control it?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is Diabetes? How we come to know about Diabetes?
what precautions we have to Take to Control it?
Diabetes is a disease occurring due to either lack of insulin or resistance to its action. In case of t1 diabetes there is a total absence of insulin (no beta cells). In addition over weight and inactivity also contribute. Diabetes is diagnosed by checking blood sugar levels. Fasting >126 mg and pp >200 mg per 100 ml of blood. Precautions to be taken are exercising daily more than 1 h, maintaining near normal weight and taking a balanced diet.
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What are the symptoms and treatments of thyroid. If I take medicine of these is 100 mg.

PDDM, MHA, MBBS
General Physician, Nashik
Symptoms of Hypothyroidism Fatigue. Weakness. Weight gain or increased difficulty losing weight. Coarse, dry hair. Dry, rough pale skin. Hair loss. Cold intolerance (you can't tolerate cold temperatures like those around you) Muscle cramps and frequent muscle aches. Kindly upload your Thyroid profile and revert.
1 person found this helpful
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How Ayurveda Helps to Treat Infertility?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
How Ayurveda Helps to Treat Infertility?

Infertility has emerged as a common problem as a result of the modern day lifestyle. Extremely hectic schedules, stress, burnout, depression and unhealthy diets can contribute to fertility issues. As per a study published by Pharmion, around 30 million Indian couples were estimated to suffering from lifetime infertility, in 2015. Also, the Total Fertility Rate (TFR) fell to 2.3% in 2013 against 3.9% in 1990.
Couples often seek help with methods such as artificial insemination and in vitro fertilization (IVF), but the problem can be solved in natural ways too. Sometimes, the root cause of infertility is simply irregular functioning or blockages in the body systems. The basic principle of Ayurveda is to get the body functioning to its optimum capacity and this is often all that is needed to treat diseases.

Here are a few ways in which Ayurvedic medicine can help treat infertility:

  1. Phal ghrit: The medicine is made by combining a number of herbs and it is taken with warm milk. It has been developed especially to treat infertility by controlling the level of hormones secreted in the body. It cannot remedy structural problems, but it can effectively treat functional disorders in the reproductive system.
  2. Shatavari (Asparagus): This plant is used to treat female infertility by regulating the cycles of menstruation and ovulation.
  3. Triphala churna: A combination of three different fruits - baheda, amla and haritaki, this medicine helps to cleanse the body of toxins, strengthens the immune system and clears blockages in the fallopian tubes.
  4. Ashwagandha churna (Indian ginseng): The medicine is used to treat male infertility by naturally increasing the production of sperm in the system.

There are also a few Ayurvedic therapies which can help to cure infertility:

  1. Vamanam: In this treatment procedure, medicated oil is swallowed to induce vomiting, which expels all the contaminating elements in the body. This process can be done regularly depending upon the overall health of the patient and also helps to combat digestive and psychological conditions.
  2. Swedanam: This therapy is usually done before other Ayurvedic therapies to prepare the body systems. For patients of infertility, the patient is made to sweat excessively. This also flushes most nitrous compounds out of the body.
  3. Dhatu nirman karma: The cells of the body are made to metabolize, absorb and assimilate nutrients leading to the formation of healthy cells and destruction of the unhealthy ones. This is turn rejuvenates the organs. Usually, this is helpful for female infertility.
  4. Virechana: Virachana therapy is defined as the medicated purgation therapy, which cleanses the Pitta and purifies blood, by clearing the toxins from the body. The treatment concentrates on the toxins that are accumulated in the liver and gall bladder. The gastro-intestinal tract is also cleansed by Virachana therapy. This treatment is usually administered for three days, but its duration may vary from case to case. 
  5. Uttarbasti: In this procedure the patient is injected with specially prepared Ayurvedic sterile Oil or Ghrut transvaginally. In case of female infertility, the procedure is done before the period of ovulation i.e. 5, 6, 7th day of menses, in each cycle, for 3 to 6 consecutive cycles. In this procedure, a sterile Ayurvedic oil or Ghrut is injected into the uterine cavity through the vagina under all aseptic precautions. No any type of anesthesia is required for this procedure. This is completely painless treatment. It is useful in infertility, spontaneous abortions, recurrent abortions, fibroids, tubal blockages, DUB, etc. Uttar basti per urethra is useful in benign prostate enlargement (BPH), urinary incontinence, urethral stricture, recurrent urinary tract infections (UTI), bladder atony, dribbling maturation, cystitis, male infertility, low sperm count, impotence, etc. If you wish to discuss about any specific problem, you can consult an ayurveda.
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Please give suggestion to control high pressure and diabetics and also my last testing micral urine was 183.5, my last fasting was 129 mg/dl and pp was 164 mg/dl on accu chek active machine, now tell me the actual result of this and is it too much for me and my age is 39 years and also I m a diabetic patient last 7 years.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Please give suggestion to control high pressure and diabetics and also my last testing micral urine was 183.5, my las...
Dietary and other lifestyle changes can help you control and prevent high blood pressure. Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol can lower your blood pressure by up to 14 mm hg. This eating plan is known as the dietary approaches to stop hypertension (dash) diet. Get plenty of potassium, which can help prevent and control high blood pressure. Eat less saturated fat and total fat. If you're overweight, losing even 3 kgs can lower your blood pressure. Strive for at least 30 minutes of physical activity a day. Plenty of fluids orally. I suggest brisk walking for 40 mins, 5 days a week. Remain stress free as much as possible. Take your medicines regularly. I being a both a registered dietitian (rd) and doctor have been successfully helping patients with their problems through a holistic approach using customized therapeutic diet and medications. I will also suggest home remedies. Do reply back for private consultation for rx.
5 people found this helpful
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Is Miller lite beer 2 bottles per day good/bad for a type 2 diabetic. And what would be its effect on human body.

MBBS, MD - Aerospace Medicine, Eular Certification in Rheumatology
General Physician, Pune
Is Miller lite beer 2 bottles per day good/bad for a type 2 diabetic. And what would be its effect on human body.
dear friend A pint of lite beer contains 128 Calories, since these are empty calories which mean they cannot be stored they will take precedence to be metabolized and sugar will be kept on hold, in this manner and along with beer the snacks one consumes adds to the calorie load and causes the calorie imbalance, per say they do not have any direct effect, if you are taking your medications regularly, and keeping your blood sugar under control , your Hb A1 C is in range, food that you take logically does not matter, but if any of the parameters i mentioned afore are off then it will matter, my suggestion will be keep your calorie intake under check and be regular with your followup and medication you can indulge in a beer or to you need any further clarification and want to discuss please ask a private consult where we are connected directly and can discuss more freely
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I am 49 year, how should prevent from High Blood Pressure and Diabetes? How should I maintain my self?

BAMS, MD Ayurveda
Sexologist, Lonavala
I am 49 year, how should prevent from High Blood Pressure and Diabetes? How should I maintain my self?
you can go for following remedy it will help you Natural home remedy using watermelon seeds and cuscus powder: 1. Take 1 tsp of dried watermelon seeds 2. Add 1 tsp of cuscus powder 3. Crush the mixture 4. Have this once in the morning and the evening 5. Consume for 3-4 weeks Surely you will get results.
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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)
Endocrinologist, 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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I have low thyroid issues and doctor prescribed me levothyroxine pills but I don't want to take the pills please suggest me any info thyroxine injunction and how many times it needs to be injected.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi. Injection for thyroid are not available in market. Pl. Continue with tablet. Hypothyroidism can control with diet and medicines. Pl. Eat iodized rich foods i. E. Sea foods/ salt water fish/sushi/ nori rolls/celtic sea salt. Selenium rish foods i. E. Meat /chicken/ salmon/ whole unrefined grains/ brazil nuts / dairy products / garlic / onion / avoid foods i. E. Turnip/ kale/ cassava/ peanuts/ cauliflower/ rutabagas/ coffee/ spinach / soyabean products/ foods with gluten/ mustard green/ mustard / and take medicines with consult endocrinologist on time to time.
2 people found this helpful
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Does thyroid affects during pregnancy? My wife is 4 months pregnant and diagnosed with thyroid.

BHMS
Homeopath, Ludhiana
Does thyroid affects during pregnancy? My wife is 4 months pregnant and diagnosed with thyroid.
Hello. Yes thyroid affect pregnancy. Consult a doctor for proper cure. Take proper treatment so that her pregnancy will go good.
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What should be done to counter weakness in diabetics when glucose levels are normal ?

BAMS, YIC, DEC
Ayurveda,
Hi, there are treatment in ayurveda which can increase your metabolism and reduce weight with controling sugar level its called detox depending on your parkuthi age and other allement you can under go for further details.
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