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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1145 Answers  |Ask -

General Physician - Answered on Oct 02, 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
Nad Question by Nad on Sep 12, 2023Hindi
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my wise age about 46 feeling pain in her right foot, we have gone to pathology for blood sugar, uric acid and Hemoglobin, The reports is as follow Uric Acid 7.33 Blood Sugar Fasting 86 PP 129 HB 12.5 Should we start medicine or may it be controlled thru suggested diet.

Ans: Please adopt lifestyle changes. Most important is to reduce high protein diet and reduce weight.
Also check her footwear
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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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1145 Answers  |Ask -

General Physician - Answered on Jun 08, 2023

Asked by Anonymous - Jun 06, 2023Hindi
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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 Uric Acid had shot up to 7.60. In fact, my toenails had started coming off. My doctor then advised me to take Febutaz40 everyday for 3 months after which Uric Acid came down to 4.30. He then asked me to stop for 1 month and it again shot up to 7.50. He has now asked me to take 1 tablet every alternate day, now my Uric Acid count is 5.70. For the past few days, I have been experiencing swelling and pain in my feet around the ankles as well as in the toes and fingers. Sometimes it is a tingling pain. I have completed 3 months of Vitamin B12 ( Meganeuron OD Plus ) which now under my Doctors instructions I have stopped. I am also taking Vit D for the past 3 months and supposed to take for another 3 months. My Question is : Should I take Febutaz 40 everyday for Uric Acid or continue taking alternate day, as is now ? And what could the possible reason for this pain in the feet and the toes and fingers ? Should I continue with my Vit B12 medicine ? Last July, my HbA1c was 6.30 which I brought it down to 5.80 by changing my diet 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-twice a week. Now my HbA1c is 6.10. Is it okay or should I stop sugar intake totally ? 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: Sir, from your history and background it look to me that you are focussed more on to your blood parameters and medication
Please shift your attention to
1.What is your diet?
2. How much do you take care of the dietary discipline?
3.How much physical activities do you do other than your activities of daily living?
4.How well do you sleep?
5.How well do you meet each day?
Reflect on these things
You will get the answer

..Read more

Komal

Komal Jethmalani  |382 Answers  |Ask -

Dietician, Diabetes Expert - Answered on Oct 24, 2024

Asked by Anonymous - Oct 23, 2024Hindi
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I am 50 year old Man and no BP but sugar is lies between 120 to 167 after food and 90 to 157 in fasting. I am taking medicine glymate gp1 for last 2 years . 3month avg Glucose in blood is 6.8 Should I consult Endocrinologist or Dibetician Problem is is I feel pain in leg and in sole I feel pain and warm Please guide
Ans: I'm sorry to hear about the pain you're experiencing. Given your blood sugar levels and the symptoms you're describing, it might be a good idea to consult with your physician. Diabetes can cause nerve damage (neuropathy), which often leads to pain, tingling, or warmth in the legs and feet. An endocrinologist or a diabetic specialist can assess this and recommend appropriate treatments. Diabetes can cause nerve damage (neuropathy), which often leads to pain, tingling, or warmth in the legs and feet. An endocrinologist or a diabetic specialist can assess this and recommend appropriate treatments. Managing your blood sugar levels through diet is crucial. Dietary modifications include opting for whole grains like quinoa, brown rice, and whole wheat bread instead of refined grains. Incorporate plenty of non-starchy vegetables such as green vegetables like spinach, broccoli, and bell peppers. Include healthy fats from sources like avocados, olive oil, and nuts. Foods high in fiber, such as beans, lentils, and oats are important to slow the absorption of sugar. Have lean protein sources from legumes, chicken, fish, turkey, etc Avoid sugary snacks, beverages, and desserts. Exercise regularly.

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Dr Nagarajan J S K

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NEET, Medical, Pharmacy Careers - Answered on May 06, 2025

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Hello sir I have taken a 1 year drop for neet 2025 from pw online . But now I am scoring only 300 in neet .Now i am very confused what to do should I take one more drop or chose any option. This time i want to join offline coaching and really want to work hard but afraid that the coaching centre after knowing my marks will give me their worst batch so what should i do ?
Ans: Hi Ritika,
You mentioned that you scored only 300 in NEET. While we can't make any judgments until the official results are published, I must say that a score of 300 is quite low.

If you're planning to reappear for NEET, that's a good decision! However, I understand you might be worried about the coaching classes placing you in a less suitable batch. I recommend attending for 2 or 3 days while attending the coaching just follow the below instructions.

Make a list of the subjects and chapters you find challenging. Discuss these areas with your coaching faculty and aim to ask at least 15-20 questions daily to clarify your doubts and enhance your understanding. Additionally, request tips and tricks for each chapter so that you can put in a lot of effort to reach your goal.

Alternatively, you can prepare 10 questions on your own and seek answers from your coaching faculty. If you maintain this practice throughout the course, you'll build your confidence, and the coaching staff may consider changing your group due to your proactive approach in asking questions.

Through NEET, you can also pursue other medical-related courses such as BAMS, BSMS, BHMS, BYMS, BNYS, and BDS.

If you don’t have confidence in yourself, you might consider dropping NEET and exploring other courses. However, I encourage you to take one chance and follow my suggestions.

Additionally, if you are not already practicing yoga and meditation, I recommend starting. These activities can help you concentrate better and reduce distractions while studying.

Best of luck!
POOCHO. LIFE CHANGE KARO.

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Dr Nagarajan J S K

Dr Nagarajan J S K   |371 Answers  |Ask -

NEET, Medical, Pharmacy Careers - Answered on May 06, 2025

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Hlo I have taken a 1 year drop in 2024 for neet but i am scoring only 300 . Now I am so confused what to do I really want to crack neet and this time i want to join offline coaching but afraid that i can do it or not Please tell me what to do
Ans: Hi Ritika,
Good decision! Offline coaching is far better than online coaching because it allows you to focus on your studies more effectively.

You mentioned that you need to crack the exam, so here are some tips on how to do that:

First, identify which subjects and chapters you find challenging and make a list. Discuss these areas with your coaching faculty. Aim to ask at least 10 questions daily to clarify your doubts and enhance your understanding.

Alternatively, you can prepare 10 questions on your own and seek answers from your coaching faculty. If you maintain this practice throughout the course, you will build your confidence.

Additionally, if you are not practicing yoga and meditation, I recommend starting. These activities can help you concentrate better and reduce distractions while studying.

Best of luck!

POOCHO. LIFE CHANGE KARO.

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