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Dr. Goutham Meher

MBBS, MD - General Medicine, DM - Endocrinology

Endocrinologist, Vijayawada

19 Years Experience  ·  300 at clinic
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Dr. Goutham Meher MBBS, MD - General Medicine, DM - Endocrinology Endocrinologist, Vijayawada
19 Years Experience  ·  300 at clinic
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Goutham Meher
Dr. Goutham Meher is a popular Endocrinologist in Akunuru, Vijayawada. Doctor has been a practicing Endocrinologist for 19 years. Doctor has completed MBBS, MD - General Medicine, DM - Endocrinology . Doctor is currently associated with Gouthams Diabetes & Harmone Care in Akunuru, Vijayawada. Don’t wait in a queue, book an instant appointment online with Dr. Goutham Meher on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 43 years of experience on Lybrate.com. Find the best Endocrinologists online in Vijayawada. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Rangaraya Medical College, Kakinada - 1998
MD - General Medicine - Kasthuriba Medical College, Manipal. - 2003
DM - Endocrinology - LLRM Medical College, Meerut - 2008
Professional Memberships
Indian Medical Association (IMA)

Location

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Gouthams Diabetes & Harmone Care

#29-28/1-61, Kaleswara Rao Road. Landmark:Near Pushpa Hotel Bus Stop.Vijayawada Get Directions
300 at clinic
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My age is 47 years old female and I am a diabetic so please tell me what diet should a diabetic patients should take.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
My age is 47 years old female and I am a diabetic so please tell me what diet should a diabetic patients should take.
Diabetes can be controlled/managed by a proper regulated diet and exercise..>> Avoid 3 big meals. Instead take small mini meals every 2/3 hours. Take green vegetables/salad with every minimeal..>> Eat whole grain food/grains like ragi, wheat, jowar instead of refined grains like maida/ sooji/ white bread etc..>> Reduce foods with high GI Index like potato, white rice, banana, mango..>> Avoid all forms of simple sugars like Colas, juices, sweets, cakes, biscuits, pizzas, noodles etc..>> Eat fruits with low/medium GI index like apple, guava, mosambi, orange..>> Do at least 30-45 mins of exercise everyday. Walk for 10 mins after every meal.
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My parents are both a diabetes patients how can they come to control and what are the foods they should have in regular base to be control.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My parents are both a diabetes patients how can they come to control and what are the foods they should have in regul...
Mr. Lybrate-user, for controlling diabetes following things are important: 1) take prescribed medication correctly without missing a dose. 2) take a restricted diet giving exact calories based on ideal body weight (ibw = height in cms - 100 x 0.9 = kgs), 3) avoid sweets, deep fried foods, junk foods and pastries, 4) consume a good deal of green leafy vegetables and salads and permitted fruits (100 g a day), 5) refrain from alcohol and smoking, red meat and egg yolk, 6) exercise daily for at least 1 hour a day, brisk walking is an ideal one. 7) periodically check blood sugar levels, keep a record and check hba1c% once in 4 to 6 months, should be maintained <7%.
6 people found this helpful
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My son who is 27 years old suffering from high uric acid which he get severe joint pain on his hand and legs loves to eat hot and spicy food with lots of garlic ginger and chillies would you recommend what type of diet he should have ?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My son who is 27 years old suffering from high uric acid which he get severe joint pain on his hand and legs loves to...
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Take tab. Bencid 500 mg once a day. Tab. Ulracet sos for pain in joints. Doctor may be give corticosteroid oral or inject direct in to joint.
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I have given My Blood today morning, for testing.In case the Uric Acid -is Positive then kindly suggest the appropriate medication for the same.

MBBS, MD - Internal Medicine
General Physician, Delhi
I have given My Blood today morning, for testing.In case the Uric Acid -is Positive then kindly suggest the appropria...
Dear lybrate-user, please remember that doctors do not treat tests. They treat the patients. So first tell me what problems are you having. And why did you do the test? If you are not having any symptoms and still you have high uric acid levels, nothing needs Tobe done unless and until it is more than 12.5 mg/dl. For more details and an individualized treatment and diet plan get back with the details and reports regards.
2 people found this helpful
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Umesh is diabetic my question is, is it ok to take only ayurvedic medicine for diabetic?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Umesh is diabetic my question is, is it ok to take only ayurvedic medicine for diabetic?
At age of 32 years if you just considering for control its like crime of low aim! consider for reversal with your diet, exercise n ayurvedic approach of detox n rasayan therapy.
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Are Trifluoperazine and Clozapine compatible with each other or are they contra-indicated, as I am on those drugs to counter my Schizophrenia? I am put on thee drugs recently. Please confirm.

MD - Psychiatry
Psychiatrist, Indore
No they are not contra indicated with each other. Generally when clozapine is used, it is used alone in equivalent dose of required antipsychotics for the reason to control symptoms. Side effects decides about combining two or more drugs generally to reduce side effect of high dose of individual drug.
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I am a 47 years old female. I am a Type I diabetic since last 20 years. I am taking insulin and sugar is under control. Lately I am developing cramps in my hand finger tips which aggravated in sleeping position. What is this problem called and how can this be treated.

Basic Life Support (B.L.S), Doctor of Medicine
General Physician,
I am a 47 years old female. I am a Type I diabetic since last 20 years. I am taking insulin and sugar is under contro...
Can't say for sure but could be due to neuropathy due to diabetes or any other cause. Kindly elaborate on your symptoms. Include vit b12 rich food in your diet. (like meat fish) or take over the counter available suppliments. Include exercise in your routine. Focusing on your back also. But never involving too much bending and lifting weights together. These are few things coming to my mind with your limited history. You can get back to me if you want more information on d same.
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I am 25 years old and I'm suffering with hypo thyroid. Due to this I'm putting on my weight, also facing many other gynic issues.

MS - ENT,MBBS
ENT Specialist, Kolkata
I am 25 years old and I'm suffering with hypo thyroid. Due to this I'm putting on my weight, also facing many other g...
Hi  First: medicines are mandatory.  Otherwise ypu might have weight gain, muscle ache, sleep and anxiety issues as well as gynaecological and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH  If ypu have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs.  Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements.  Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption.  Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise.  You will start  Better as the levels of your hormone normalises.  Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest Hope this helps Let me know.  You can share your reports on Lybrate, then I can help you better Take care Dr. Amrita Basu.
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Hello sir, my mother is type one diabetic and she is on table and insulin. Her sugar never come to normal always stay fasting 130-140 and after meal 200-300. N most big problem is she can't able to walk properly. Only with support she step few. She can't control her balance while walking. If she take two three step without support she fell down. And her urine can't control. We had done blood test for kidney, liver and lipid profile and urine culture. Nothing big problem in blood. Sir what to do so that she can walk independently. She is 64 years old.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello sir, my mother is type one diabetic and she is on table and insulin. Her sugar never come to normal always stay...
Hello, Thanks for the query. Since the patient is on Tablets and Insulin, she must be having T2 diabetes. Because in T1 there is no role of oral anti-diabetic drugs. First and foremost is to achieve strict blood glucose control with FBG <100 or near 100 mg, PP 160 to 180 mg & HbA1c% <7. This will help in improving her general health. At home she should be made to walk for at least 15 to 20 minutes even with support, to begin with. She should take a proper healthy balanced diet. That should help. Thanks.
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I am 60 years old. Am debitic since last 10 years and mgt is 1000mg metformin +2 mg glimi in the morning and same doze in evening. Last six month there is burning feet sensation in my feet. Skin on both feet below ankles start getting hard and also there are cracks in palm of left foot which heels and dead skin comes and goes. But there is no wound. Please advise me.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
You are having diabetic dermopathy. You can try doing medicated pedicure under strictly hygienic condition after controlling your blood sugar levels.
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I am a 61 year old man -type 2 diabetic- controlled bp- cholestrol- taking blood thining meds. Cannot maintain errection while having sex. What should I do ? Any medicine you can recommend.

M.D. Internal Medicine
Endocrinologist, Mumbai
If you have good sugar control that is hba1c less than 7% along with good blood pressure control then it is possible that your problem with psychological aspect may get corrected automatically with in 2-3 months by taking your partner in confidence without any anxiety. If still no improvement then you may need specific tests to find blood flow in your private parts and safety of drugs given for the same.
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Hi my friend are is 28. He's suffering from recurring hypoglycaemia from past 3 months. Docs did c peptide and serum insulin during the episode of hypoglycaemia. C peptide level is 0.46 serum insulin > 300 docs are suspecting my friend had taken insulin. But I'm sure he didn't. So is there any other causes that makes c peptide level low and insulin levels high. Can some one please help me.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi my friend are is 28. He's suffering from recurring hypoglycaemia from past 3 months. Docs did c peptide and serum ...
An insulinoma causes the pancreas to release too much insulin, which causes blood sugar levels to drop (hypoglycemia). A person with an insulinoma will have a high level of C-peptide in the blood when they have a high level of insulin.
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My recent thyroid test says that my total thyroxine (t4) level is 3.6 which is low. Is it a serious problem and how to rectify it.

FASNC, Dip. CBNC, DRM, MBBS
Nuclear Medicine Physician, Lucknow
My recent thyroid test says that my total thyroxine (t4) level is 3.6 which is low. Is it a serious problem and how t...
Get your ft3, ft4 and tsh done. Total t3 may be confusing, anyways if it is low, you may be suffering form hyperthyroidisim and you need treatment for it!
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I am 54 years old guy from pune . I am suffering diabetic and high blood pressure. please tell me what I do what medicine I take?

PDDM, MHA, MBBS
General Physician, Nashik
Please mention your recent bsl reports and blood pressure and ongoing treatment and revert back to me for further assistance.
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how to reduce diabetic eye pressure

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
how to reduce diabetic eye pressure
Diabetes causes vascular damage throughout the body. Because the blood vessels within the eye are so tiny, any damage at all can have a tremendous impact on eye health.

One of the most prevalent of the diabetes-related eye diseases is glaucoma. In fact, people with diabetes are between 40% and 50% more likely to develop glaucoma than non-diabetics.

Glaucoma causes the pressure within the eye to increase gradually, damaging the optic nerve and leading to partial or complete vision loss. The exact mechanisms for this are unknown. While there are several types of glaucoma, the most common form is open-angle glaucoma.
Open-angle glaucoma

The eye is full of fluid which continually refreshes. Normally, fluid drains at a point in the eye where the iris and the cornea meet. If this opening becomes even partially blocked the fluid drains out of the eye too slowly, even as new fluid is added. This backup of fluid causes an increase in pressure within the eye, damaging the optic nerve.

Open-angle glaucoma does not cause any symptoms until the disease is well-advanced. By that time, vision is impacted, with loss of peripheral vision first, advancing to tunnel vision and then total vision loss as the disease progresses.
Treatment

The goal of treatment is to lower intraocular pressure. This can be approached one of three ways: lower eye pressure, improve drainage of fluid from the eye or decrease the volume of fluid produced within the eye.

There are a variety of eye drops that may be prescribed.

Prostaglandins (xalatan, lumigan) and cholingeric agents (isopto carbine and isopto carbachol) act to increase outflow of fluid from within the eye.

Beta blockers (betimol, timoptic, betoptic) and carbonic anhydrase inhibitors (trusopt, azopt) reduce the production of fluid within the eye.

Alpha-adrenergic agonists (iopidine, alphagan) both lessen fluid production and increase fluid outflow.

Physicians may prescribe a combination of the above.

Oral medications may also be prescribed, if eye drops alone are not sufficient. These are usually in the form of a carbonic anhydrase inhibitor.

If medications are not sufficient to halt progression of the disease, then surgery might be necessary.

Drainage implants might be inserted within the eyes to facilitate drainage.

Laser surgery, known as laser trabeculoplasty, can be done to open clogged drainage canals.

Filtering surgery, known as trabeculectomy, removes a small piece of tissue from the location of the drainage canals, widening the opening and improving drainage.

The best possible treatment for glaucoma is prevention. Everyone above 40 years of age should have an eye exam at least every three years. Diabetics should have a dilated examination of their eyes annually.

Well-controlled blood sugar level are another preventive measure that will lessen the odds of developing glaucoma.
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Hello sir /mam I am 35 yrs old. I having hypo thyroid and my weight is 98 kgs i am using thyronium100 my problem is I want to loss my weight so please kindly help me and give a suggestion. Thank you.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hello sir /mam I am 35 yrs old. I having hypo thyroid and my weight is 98 kgs i am using thyronium100 my problem is I...
IN HYPOTHYROIDISM:--- 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 iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. 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 can help,
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I am 31 years old female and I got to know I am diabetic. What precautions I need to take as I am planning for a baby is it possible and being diabetic will it be harmful for a child.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 31 years old female and I got to know I am diabetic. What precautions I need to take as I am planning for a baby...
Hello, Thanks for the query. A lady with diabetes can get get pregnant and deliver a healthy child, but a few precautions need to be taken - 1) Shift to Insulin once pregnancy is confirmed. 2) Blood glucose has to be maintained between 90 to 120 mg throughout the pregnancy. 3) Higher glucose levels can harm the fetal brain growth, later there may be large baby and pregnancy outcome can be bad. If all these points are kept in mind and blood glucose is maintained as mentioned, then there will be no problem. Consult a good diabetologist locally. Thanks.
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Can you suggest a diet plan for prediabetes people to avoid risk. Whether bittergaurd juice can be consumed daily? Any side effects?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip.in Yoga, MBA
Ayurveda, Gurgaon
Can you suggest a diet plan for prediabetes people to avoid risk. Whether bittergaurd juice can be consumed daily? An...
Hi Mr. lybrate-user Rao 1.Best rigmn for you is to go for 45 min brisk walk in morning and 20 min normal walk after dinner. 2.Take diet rich in fibre 3Avoid Rice. If you are a rice eater only then take thick rice only. Strict No to basmati 4.In fruits -No to Mango, banana, Cheeku.u can take papaya 5.proper Sleep 6.Avoid stress by Breathing exercises and yoga asanas especially Ardhmatseyendra Asana n Mandook asana 7Plenty of warm water. 8.u can take bitter guard daily with cucumber n tomato. Make juice of all n drink empty stomach in morning. For any further query you can consult me online by private conversation. TC 5.
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What is the normal pulse rate for a diabetic patient with BP my pulse rate is 95 per second.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
What is the normal pulse rate for a diabetic patient with BP my pulse rate is 95 per second.
If on medication for bp, the pulse is lower. 95 at resting? is on higher side. Do get bp checked and controlled again with medicines. Yoga & meditation also reduce the pulse, so does walking and other exercises according to constitution.
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