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Dr Chandrakant Lahariya | Answer |Ask -Follow

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 24, 2024

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more

Asked by Anonymous - Oct 24, 2024Hindi

Hi Doctor, I'm 37 yrs Male physically and mentally fit. For last several years I'm following a strict diet where I eat 4 times in a day - Breakfast, Lunch, Snacks, Dinner. Nothing in between. I don't eat junk food. I have 2 questions for you: 1) Lately I have observed an urge to eat in-between (eg. an hour after breakfast) probably due to reduced sugar levels. Is it fine to eat some Jaggery/almonds/cashew in between? 2) When I have early dinner around 7pm, I get an acid reflux at night (especially if I eat Tur dal/any pulses). What can be the reason and what are the ways to tackle acid reflux? Thanks in advance.

Ans: What you are indicating seems to be a sign of insulin resistance where in response to meal, insulin levels rise and then you start feeling hungry. These are indications of early stage of diabetes development.
The first thing you need to get done is blood sugar levels: fasting, 2 hr after breakfast and HbA1c. You also need to have your lipid, and liver function tests done. Essentially, you can get your blood marker profile done. Discuss that with a physician and he or she would be in better position to advise.

Regarding second question, it may not be related to early dinner but overall gastric emptying. Please increase fruits and vegetables in your diet. You need to have some gastric motility enhancing medicines before breakfast . Esomeprazole and Domperidon combination are very effective.

It might benefit to increase the number of meals and snacks in total to 5 From current (Three meals and two snacks) but reduce the quantity and portion sizes in snacks.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi

Asked on - Oct 30, 2024 | Answered on Nov 01, 2024

Thanks Doctor for your reply.

Ans: Best wishes

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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Question by Prakash - Jan 20, 2022Hindi

Hello, I am a 51-year-old male and have regular issues with my digestive system, primarily gastric issues. There are times when my stomach feels bloated like a balloon and I have hyper acidity. I also feel a burning sensation inside the stomach and had acid reflux once which has resulted in irritation of the throat, which has now become coarse. When I sleep at night after taking food, I have the sensation of something coming upwards from the stomach towards my throat. Can you please advise some remedy or solution for these gastric issues in the stomach? Thank you. Regards, Prakash Bhushan

Ans:

Reoccurring acidity and strong acid refluxes could be due to many reasons, some of which can become severe if not addressed.

I would recommend that you visit an Ayurvedic practitioner right away and get your tests done as prescribed by the doctor.

Meanwhile, too much acidity can hamper our stomach lining, resulting in ulcers and other severe problems. You need to plan a detox diet and give some relief to your digestive system.

Finish your dinner three, or at least two, hours before you sleep.

Don’t eat spicy/fried food. Have more of alkaline foods like fruits and buttermilk (though not at night).

If you can do a fruit diet once a week, practise it for 2-3 months.

Also, start having jeera (cumin) or saunf (aniseed) water in the morning.

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