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Dr Karthiyayini Mahadevan |696 Answers |Ask -Follow

General Physician - Answered on Dec 27, 2023

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more

Asked by Anonymous - Dec 23, 2023Hindi

Health

Hello Doctors, I am 51 years male, I have Hypothyroidism (TSH 10.6), border line sugar (FBS 106, PP 120), HB1AC 6.5, Creatinine level (1.0), cholesterols levels are under control, I am becoming lean. Always having indigestion problems, chronic constipation, huge body pain, bones pain always, met with endocrinologist, he advised neurobion forte once daily. Already taking Thyronorm 75 mcg. After one week No relief so far. Appetite is also very low. What to do, please suggest.

Ans: Please check your Thyroxine level, that is T3 free T4 and also Vit D and B12 levels.See how well are they maintained.IF needed consult your Physician for altered range in levels.

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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Asked by Anonymous - Mar 17, 2023Hindi

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My name is GGVVS, Am 52 yrs old, am weighing about 83 kgs, about 8 yrs back due to increase of Thyroid to 500 units, (detected on doctors advice) I started having constipation issues, it was told that small intestine has become sluggish , due to which my digestion has slowed down, Gas accumilation has increased, Body pains are more dominent ,especially after waking up from sleep in the mornings, concentration distortion. I do walking for 1 hr , suryanamaskar & Yoga every day. Even now am experiencing the same issues on daily basis, inspite of visiting many Gastroentrologists I didn't get any result.Kindly advise me if any solution is availiable .

Ans: I will suggest you to try alternative therapies that are available too ,apart from what you are doing.
Our mental health plays a very big role to take care of our physical health.So also can check how is your mental health.

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Question by Sudeep - Apr 05, 2023Hindi

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I am 50yr male having hypothyroidism from last 7 years taking Thyonorm 75 mcg. BP 138/84, FBS 110 PP 165, Hb1ac 5.5, LFT, Urine tests are normal. Becoming lean day by day. Seing regular physician. Please suggest shall I meet any thyoride specialist.Ans: Ans: What is your recent TSH level. If the TSH level is within normal limits, your weight loss is unlikely to be due to the thyroid disease or medication. Sir, My T3, T4 & TSH are within normal limits. Having constipation, indigestion hyperacidity problems. Taking tablets for Vid D deficiency. Feeling tingling some time.

Ans: If your thyroid functions are normal, the weight loss is unlikely to be due to a thyroid problem. I think you need to undergo a proper check up to determine the cause of the weight loss (CBC, Liver function, Sr B12, Stool examination, Ultrasound) . May even need to undergo an Endoscopy

Dr Hemalata Arora |186 Answers |Ask -Follow

General Physician - Answered on Jun 09, 2023

Asked by Anonymous - Jun 07, 2023Hindi

Health

Hello Doctor, I am 59 yrs old, 90 kgs, height 6'1", a pure vegetarian. Mine is basically a sitting job. Last July, while doing a routine check up, I found out that my HbA1c was 6.30 which I brought it down to 5.80 by following a diet plan and walking exercise. I had stopped sugar intake totally for 6 months after which my HbA1c was down to 5.80. Now I have started on sugar intake but very limited quantity and that too once in 5-7 days. Now my HbA1c is 6.10. Is it okay or should I stop sugar intake totally ? I also found that TSH was 5.59. This is the first time that it is so high. Normally it has always been between 4.0 - 4.50 . My doctor has prescribed Thyrox 25 mcg. I'm not very keen to start on Thyrox as once started, it has to be taken for lifetime, which I am not willing to at this moment since I feel that it is not high. I do feel very tired and fatigued the entire day and especially when I wake up in the mornings. I have completed 3 months on Vit B12 (Meganeuron OD Plus). Do you feel that I shoud take Thyrox 25 mcg or not ? Just for information during the past 10 months, my FBS is between 98 to 108 and PPBS is between 110 to 140. I am not taking any medicine for sugar control. My cholesterol is between 140 to 180. Could you please revert back to all my queries ? Thank you

Ans: Hello.
1. For the HBa1c and sugars: what you are doing is quite right and keeping the sugar intake to bare minimum to zero is ideal. You should also reduce refined carbs like maida and potatoes, reduce milk consumption, reduce cereals like rice, wheat, etc. Instead increase veggies, salads, nuts and seeds. This will allow you to stay off medications for a long time.
2. Regarding the thyroid, at this level generally medication is not required but your doctor has likely suggested it as a trial to see if your fatigue is taken care of by it. I would suggest taking it for a few months and seeing.
3. Regarding the fatigue, while you are taking the thyroid medications, it may also be prudent to get a further evaluation to see if there are any sleep related, chronic immune related or mental health related factors that may also be playing a part.
All the best

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Question by Nagabhushan - Jun 07, 2023Hindi

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Dr Hemalatha Arora, I am a 64-year-old male. In 1996, due to a severe accident, I had to undergo 4 major operations for my right leg. I lost hope that I can walk again but somehow due to the Ilizarov method the infected bones healed but it is short by 1.5 inches and had permanent stiffness. Prior to my accident, I was just 58 Kg but after the accident, my weight has steadily increased to 90 Kgs. I get tired and cannot work as I intend to. During my 50's I did work hard as I am in the field of Laboratory products. I suspect it may be due to hypothyroidism although results showed that it is within limits. Do BP tablet mask the actual Thyroid results. My rice intake is minimal. this overweight is leading to all sorts of problems. Just today I found that my fasting and Post Prandial sugar levels are also high. Please advise.. Nagabhushan M.P.

Ans: Hello. You will need a proper dietary consultation to streamline your diet and induce weight loss. Intermittent fasting maybe a good place to begin alongwith giving up sugar and refined carbs. Please consult a dietician/ physician for a thorough evaluation and plan of care.

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Asked by Anonymous - May 13, 2024Hindi

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Dear Anu, Me and my brother always wanted to buy a 2bhk. I got married a couple of years back & my younger brother is unmarried. We both have been looking for properties for years now but nothing would fit our budget. This is something my wife knew before marriage as well. Now she wants me to abandon the plans of buying a house with my brother and to plan with her. I am of the view we all can come together to buy the house but she is not ok with my brother contributing. As she believes it will create issues later on and during inheritance. I am in a dilemma about how to navigate this. As we all live in rented flat along with my parents?

Ans: Dear Anonymous,
You are taking an emotional stance on this and your wife is on a fear-ridden path...both of you are not wrong BUT is it possible to agree to what your wife is saying and yet not lose your brother's favor. Then you will have nothing to lose and everything to gain.
Separate finances keeps relationships healthy and we have enough evidence where mixing financial matters and personal stuff can get messy...
There is nothing emotional about it, so think of the future...it's better to be safe and he's your brother...I am sure that he will understand...I have a question for you though: Why is it so important for you to have your brother's presence in buying the house? What will happen if you go ahead by yourself just like he can go ahead himself?
There are other things that you can share like going on holidays together, family gatherings, doing some charitable work together...
Prioritize relationships over finding what ties them...and your brother is not married...his future bride may not like the arrangement as well and then it will be one big mess to separate things...
Better keep things separate now than later...mending scars is more difficult than making a sane decision now...

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Question by Lala - May 12, 2024Hindi

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dear mam meri age 39 hai or meri wife ki age 32 hai . meri wife ne kuch din pehle uske boyfriend se sex kiya or mujhe puri chatting bhi batai. or ab bolti haiki mujhse daro.me jo bolu wo karo. warna me or sex karungi .to me dar ke maare chup ho jaata hu me kisi se ye baat bhi nahi kar sakta hu mujhe kya karna chahiye patni se darta rahu ?? koi upaay batana please mam

Ans: Dear Lala,
Shaadi ke baahar aapke patni ne kadam rakha aur woh aapko daraa rahi hai? Kuch baat samajh nahin aayi...
Air aapko kis baat se daraaya jaa raha hai...Kya karna hai aapko aur agar nahin kiya toh anjaam kya hoga? Ki woh aur baahar sex karegi?
Yeh kaunsa shaadi hai jahaan rishtaa nahin banaa ho aur upar se aapko dhamki bhi mil rahi hai aur chup chap sehne ki koshish kar rahein hain...
Aapne khud dare rehna ka faisla kiya hai toh kya upaay ho sakta hai...is cheez se ubharke aane ke liye aapko himmat jutaani padegi aur saaf saaf apni patni ko bataana hoga ki yeh sab aap shaadi se aur shaadi mein nahin chahte ho (agar aapko bhi yeh lagta hai toh) aur jab koi daraaye, toh darna nahin hai, himmat se saamna karna chahiye kyonki shaadi ke baahar aap nahin aapki patni ne kadam rakha hai...toh in sab mein aapka faisla zyaada maayne rakhta hai...samajh rahein hain aap?

All the best!
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Drop in: www.unfear.io
Reach me: Facebook: anukrish07/ AND LinkedIn: anukrishna-joyofserving/

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Asked by Anonymous - May 13, 2024Hindi

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I am 38yr old working women .I have 3year old daughter. 2.5 years back my father in law expired . After which my MIL started staying with us as my husband is a single child. She started creating lot of trouble in our family because of which my husband left me and my child.since then my husband is not staying with us neither helping me or my child emotionally and financially even after speaking to him.We took couple therapy also. Nothing changed. Now as I to put my child for school, I am feeling burdened emotionally, physically and financially which I don't want to show at my kid. kindly guide me to come out of the situation and give the best safe environment for my daughter.

Ans: Dear Anonymous,
Why should you bear the responsibilities all by yourself?
Legal separation has not happened and he is still responsible towards your daughter who is his daughter as well. If nothing has come out of therapy, then the responsibility to change and work on the marriage has not been a strong need.
Have an honest conversation with your husband on this; leaving home with no clarity for anyone is not a very nice thing to do...
Let him state his side of the story as to what he intends to do in the future with the marriage and maintenance of the child. If he refuses to offer support, legal recourse might be your only option.
But before doing anything, a frank chat with him is necessary. Know what's on his mind and do understand that your daughter is eligible to support financially from her father. So, don't go through with all this alone.
Do make an attempt to put things back together and then opt for other choices...

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Drop in: www.unfear.io
Reach me: Facebook: anukrish07/ AND LinkedIn: anukrishna-joyofserving/

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I am 44 year old and am a home makeras my husband passed away I have married to another person and am depended on him . My 18 years old daughter ( by next month 22nd she will turn 18) is creating hell lots of problem for me . Just wanna know after 18 years do I need to look after her legally.

Ans: Dear Anonymous,
Legally maybe you are not bound (I am not an expert in legal matters) but how can you wash your hands off as a parent? That job is not something that ends on a whim, does it?
Okay, she's playing a troublemaker, would you not want to address that and help her through it...Washing your hands off will not sit with you easily and it will haunt you...
It's understandable that you might be frustrated, but don't give up...I am about to lecture on parental duty etc but if you give up, your daughter who needs you the most now will be down the deep end of the tunnel and you do not want that, do you?
She's simply reacting on some unresolved emotions...stick by her...you will thank yourself later!

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Reach me: Facebook: anukrish07/ AND LinkedIn: anukrishna-joyofserving/

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Asked by Anonymous - May 14, 2024Hindi

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Which is beneficial out of 1.Certficate programes by MBA colleges . 2 Distance MBA 3. Executive MBA 4. Regular MBA in India? Context: I have 12 year of experience in total in the IT sector. I am a solution architect earning around 50LPA CTC. I am exploring the options of doing an MBA and not sure which one is more suitable. I am in middle management and want to get into the senior leadership role. Objective: This MBA/certificate for me is a ladder to scale up. So I am looking only for top 5 management schools in India. Mostly from IIM's or ISB only. Expectation: Looking for alumni status Looking for network connections for better outreach for a job switch. Impression on Resume/profile to get a job in a higher designation. I am more concerned with designation although in the IT sector only. (Is impression is enough to scale up the ladder , with comm and tech skills. Not sure ) Constraints: I need remote education, and can't relocate to different cities. cant go beyond 6-8lakh fees. Options: Certificate Program (IIM, ISB, XLRI) Executive MBA(1 year)(Too expensive though) General MBA(2 year remote) From these options, which is the best alternative? and what is the difference between these? Does it hold any value on paper?

Ans: It is always preferable to do an Executive MBA considering what you require from an MBA course. But you have other constraints in which case look at distance MBA Certificate course. There are foreign universities like Wharton, Kellogg, etc offering Distance Certificate course, but if you plan to continue working in India, course from top IIMs or ISB or XLRI could be better.

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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