HYDERABAD ENDOCRINOLOGY http://hyderabadendocrinology.com en Thyroid Diet http://hyderabadendocrinology.com/content/thyroid-diet <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even"><div> <span><span><strong>DIET IN HYPOTHYROID</strong></span></span></div> <div>  </div> <div> Hypothyroidism, also called underactive thyroid, occurs when the</div> <div> thyroid gland makes insufficient thyroid hormone.</div> <div> A good healthy lifestyle with adequate nutrition can help to control the symptoms of hypothyroidism.</div> <div>  </div> <div> Diet for hypothyroid should include nutrients that naturally support proper thyroid function.</div> <div>  </div> <div> <strong><span>These nutrients include : Iodine rich foods</span></strong></div> <div> <strong><span><img alt="" src="/sites/default/files/medium_SALT.jpg" /><img alt="" src="/sites/default/files/medium_FISH.jpg" /><img alt="" src="/sites/default/files/medium_LEAVES.jpg" /></span></strong></div> <div> Iodised salt</div> <div> Sea food</div> <div> Shell fish</div> <div> Cows milk</div> <div> Eggs</div> <div> Garlic</div> <div> Yeast extract</div> <div>  </div> <div> Along with diet,  medications play an important role to control hypothyroidism.</div> <div> <img alt="" src="/sites/default/files/medium_Thinkstock_rf_photo_of_prescription_meds.jpg" /></div> <div>  </div> <div> <span><strong>Foods To Avoid For Hypothyroidism :</strong></span></div> <div> Linseed</div> <div> Kohlrabi</div> <div> Peanuts</div> <div> Kale</div> <div> Turnips</div> <div> Mustard Greens</div> <div> Mustard</div> <div> Millet</div> <div> Cauliflower</div> <div> Peaches</div> <div> Coffee</div> <div> <strong>Goitrogenic Foods To Avoid For Hypothyroidism :</strong></div> <div> Bamboo shoots</div> <div> Soybeans and related products</div> <div> Canola Oil</div> <div> Horseradish</div> <div> Foods with Gluten</div> <div> Sweet Potato</div> <div>  </div> <div> <strong><span>Effects Of Weight Loss On Hypothyroidism</span></strong></div> <div> Losing weight can help a great deal in warding off hypothyroidism.</div> <div> Eating a well-balanced and high-iodine diet along with proper exercise can maintain a healthy and hypothyroidism-free life.  Dieting and exercising will not only help your thyroid to function well; it will also give your entire body a healthy make over.</div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div></div></div></div> Sat, 07 Feb 2015 15:27:28 +0000 Dr. Ravi Kumar 59 at http://hyderabadendocrinology.com http://hyderabadendocrinology.com/content/thyroid-diet#comments Diabetic Diet http://hyderabadendocrinology.com/content/diabetic-diet <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even"><p><strong>DIET FOR DIABETES</strong></p> <p><img alt="" src="/sites/default/files/large_798px-A_-SOUTH_INDIAN_FOOD_0.jpg" /><br /> The goal of a diabetic diet is to avoid any surges in the blood glucose levels at any time of the day.<br /> For people with diabetes, healthy eating is not simply a matter of "what one eats", but also when one eats. This can be easily accomplished by following a "three meals and three small snacks" pattern.<br />  Following a diabetic diet chart along with portion control, avoiding foods that cause the sugar levels to soar (e.g. sugars, sweets) and choosing foods high in fiber are also the key to maintaining a near normal level of blood sugar throughout the day. The diet for diabetics should also be rich in fiber which helps by slowing down or reducing the absorption/release of glucose into the blood stream. Diabetics are also more prone to developing heart diseases, so a diet low in total fat will help to prevent heart diseases in the near future.<br />  <br /><br /> Exercise also improves the body's ability to use the insulin and incorporating a suitable exercise regimen  on a daily basis can help in controlling the blood sugar.<br /> Based on your weight and level of activity the calories and appropriate proportions of nutrients  you need to take per day is calculated. your caloric intake is also adjusted to your weight loss goals.<br /><br /><strong>BEHAVIORAL PROGRAM :</strong><br /><strong>Stimulus control —</strong><br /> Stimulus control is considered a key element in a behavioral program . It focuses on gaining control over the environmental factors that activate eating and eliminating or modifying the environmental factors that facilitate over-eating. Since food is a key issue in weight gain, participants are taught to buy more fresh fruits and vegetables, to prepare easy-to-eat lower calorie foods, and to place them prominently in the refrigerator or on the counter.<br /> The proximity of food and the shape and size of serving containers may influence how much is eaten . Stimulus control also includes making the act of eating a focus of its own. Thus, turning off the television set and putting down reading materials may allow the individual to concentrate on eating.<br /><strong>Slowing down the rate of eating —</strong><br /> Since eating is central to ingesting food, slowing down the process may give "physiological" signals for fullness time to come into play. Two ways to slow down eating include concentrating on the tastes of the food and savoring what is being eaten. Other techniques might involve leaving the table briefly during a meal and drinking water between bites.</p> <p>Good examples of diet charts you can follow in the corresponding diet chart articles based on your daily calorie requirement.<br />                </p></div></div></div> Sat, 17 Jan 2015 08:01:48 +0000 Dr. Ravi Kumar 58 at http://hyderabadendocrinology.com http://hyderabadendocrinology.com/content/diabetic-diet#comments PolyCystic Ovarian Syndrome ( PCOS ) http://hyderabadendocrinology.com/content/polycystic-ovarian-syndrome-pcos <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even"><div> <span style="color:#008080;"><strong><span style="font-size: 14px;">PROBLEMS WITH PCOS</span></strong></span></div> <div>  </div> <div> <img alt="" src="/sites/default/files/Untitled-1.gif" style="width: 500px; height: 473px; float: left;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> Patients with pcos have these problems in varying combinations</div> <div>  </div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span> Irregular or absent menstrual periods</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Excess hair on the face and body</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Thinning of hair on the scalp ( Excess Hair fall )</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Weight gain (especially at the waist)</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Acne</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Infertility</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">WHAT IS PCOS ?</span></strong></span></div> <div> Polycystic ovary syndrome (PCOS) is a hormonal disorder and a metabolic problem defined by a group of problems described above.</div> <div> Women with PCOS often have many small painless cysts in</div> <div> the ovaries (hence the name “polycystic”).</div> <div>  </div> <div> <img alt="" src="/sites/default/files/polycyst-e1350617346546.jpg" style="width: 350px; height: 294px; float: left;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> These cysts are not cancerous and represent unruptured cyst that should  release monthly egg.</div> <div> PCOS affects 7 to 10 percent of women of child bearing age and is the most common cause of infertility.</div> <div> PCOD is detected in 15 to 18 % of reproductive age group women.</div> <div>  </div> <div> PCOS affects more than reproduction. It’s also a metabolic</div> <div> problem that affects several body systems.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">What causes PCOS?</span></strong></span></div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;"><img alt="" src="/sites/default/files/p2_0.gif" style="width: 350px; height: 292px; float: left;" /></span></strong></span></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> There is probably more than one cause. In general, an imbalance of hormones underlies the condition. It has also been called “ovarian androgen excess” because the ovaries produce male hormones (androgens) in increased amounts.</div> <div> PCOS seems to be inherited. Female relatives or children of</div> <div> patients with PCOS are at increased risk for having PCOS.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">How is PCOS diagnosed?</span></strong></span></div> <div> In addition to assessing signs and symptoms of PCOS, doctors take a medical history, perform a physical exam,</div> <div>  </div> <div> <img alt="" src="/sites/default/files/PCOS1_v2.jpg" style="width: 381px; height: 301px; float: left;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> Your Doctor will also  check blood hormone levels like Testosterone,  Estrogen,  LH,  FSH ,  DHEAS , 17-Hydroxy Progesterone.</div> <div>  </div> <div>  </div> <div> <img alt="" src="/sites/default/files/pcos%20scan_0.jpg" style="width: 350px; height: 278px; float: left;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> They may also perform an ovarian ultrasound.</div> <div> Measure Glucose levels and Insulin levels  in the blood to check for Insulin resistance.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">How is PCOS treated?</span></strong></span></div> <div> Symptoms are treatable with medications and changes in diet and exercise .</div> <div>  </div> <div> Maintaning ideal weight and regular exercise can cure PCOS in 50% of patients.</div> <div>  </div> <div> Treatment of patients with PCOS should be individualized based on their complaints as follows :</div> <div>  </div> <div> Menstrual irregularities can be treated with Birth control pills </div> <div>  </div> <div> Excess hair can be treated with Antiandrogen medications and  removal of facial hairs, electrolysis or laser treatments. </div> <div>  </div> <div> Medications that help the body respond better to Insulin like Metformin may also be helpful. </div> <div>  </div> <div> For women whose infertility problems are not resolved with lifestyle changes alone, medications that improve ovulation (fertility drugs) may be helpful.</div> <div>  </div> <div>  </div> </div></div></div> Tue, 18 Jun 2013 13:56:30 +0000 Dr. Ravi Kumar 48 at http://hyderabadendocrinology.com http://hyderabadendocrinology.com/content/polycystic-ovarian-syndrome-pcos#comments Delayed Puberty In Girls http://hyderabadendocrinology.com/content/delayed-puberty-girls <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even"><div>  </div> <div> Puberty is the time of life when a child’s body matures into an adult’s body.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">What is delayed puberty?</span></strong></span></div> <div> Delayed puberty is when a teen goes through these body </div> <div> changes later than the usual age range. <span class="Apple-tab-span" style="white-space:pre"> </span></div> <div> For girls, it means no breast development by age 13 or no </div> <div> menstrual periods by age 16.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">What causes delayed puberty?</span></strong></span></div> <div> Some teens are “late bloomers” who just happen to start puberty </div> <div> later than most children their age. Being a late bloomer is the </div> <div> most common cause of delayed puberty. It’s not caused by </div> <div> a medical problem and usually doesn’t need treatment. Late </div> <div> bloomers will eventually start puberty on their own and catch up </div> <div> to their friends.</div> <div> Sometimes, girls don’t start having periods because their uterus </div> <div> and vagina don’t develop properly. </div> <div> <img alt="" src="/sites/default/files/image.png" style="width: 480px; height: 640px; float: left;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> <table align="left" border="1" cellpadding="1" cellspacing="1" style="width: 500px;"><tbody><tr><td>                                      16 year old girl with Delayed Puberty</td> </tr></tbody></table></div> <div>  </div> <div>  </div> <div>  </div> <div> <img alt="" src="/sites/default/files/dp.png" style="width: 395px; height: 387px;" /></div> <div>  </div> <div> <table border="1" cellpadding="1" cellspacing="1" style="width: 400px;"><tbody><tr><td> 17yr - female with Primary Amenorrhea with small Ovaries due to Genetic problem </td> </tr></tbody></table></div> <div>  </div> <div> <span style="font-size:14px;"><span style="color: rgb(0, 128, 128);"><strong>Other  causes  of delayed puberty</strong></span></span></div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Genetic problems such as Turner syndrome in girls.</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Problems with the ovaries , which make sex  hormones</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Malnutrition (not getting proper nourishment) due to an </div> <div>                eating disorder such as anorexia </div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Problems with the pituitary or thyroid glands, which make </div> <div>                   hormones that help children grow and develop.</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>They may have too much of a hormone called prolactin,</div> <div>    or a condition called Polycystic Ovary Syndrome (PCOS).</div> <div>  </div> <div> <span style="color:#008080;"><span style="font-size: 14px;"><strong>Evaluation of Delayed Puberty</strong></span></span></div> <div>  </div> <div> <span style="color:#008080;"><span style="font-size: 14px;"><strong><img alt="" src="/sites/default/files/Evaluation%20of%20delayed%20puberty.jpg" style="width: 700px; height: 389px; float: left;" /></strong></span></span></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> <span style="font-size: 12px;">Initial evaluation involves detailed history, Physical Examination with thorough assessment of External and Internal genitalia.</span></div> <div>  </div> <div> In Primary Amenorrhea Pelvic Ultrasound confirms the presence of Mullerian structures( Reproductive organs) like Uterus.</div> <div>  </div> <div> Absence of Mullerian structures requires Karyotype analysis and Testosterone level.</div> <div>  </div> <div> For pituitary  causes prolactin levels, MRI Brain may be required.</div> <div>  </div> <div> FSH levels, LH levels, Thyroid function tests may also be required.</div> <div>  </div> <div>  </div> </div></div></div> Tue, 18 Jun 2013 07:58:15 +0000 Dr. Ravi Kumar 47 at http://hyderabadendocrinology.com http://hyderabadendocrinology.com/content/delayed-puberty-girls#comments Delayed Puberty In Boys http://hyderabadendocrinology.com/content/delayed-puberty-boys <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even"><div>  </div> <div> Puberty is the time of life when a child’s body matures into an adult’s body .</div> <div> <strong style="color: rgb(0, 128, 128); font-size: 12px;"><span style="font-size: 14px;">What is Delayed Puberty?</span></strong></div> <div> Delayed puberty is when a teen goes through these body </div> <div> changes later than the usual age range. </div> <div> For boys, it means no enlargement of the testicles by age 14 .</div> <div>  </div> <div> <img alt="" src="/sites/default/files/DSC_1684.gif" style="float: left;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> <p> </p> <p> </p> <table align="left" border="1" cellpadding="1" cellspacing="1" style="font-size: 12px; width: 500px;"><tbody><tr><td style="width: 332px;"> <p><span style="font-size: 12px;">26yr - male without Secondary Sexual characters like </span><span style="font-size: 12px;">mustache or male body habitus</span></p> <div>  due to Pituitary Dysgenesis </div> </td> </tr></tbody></table></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> <strong style="font-size: 12px; color: rgb(0, 128, 128);"><span style="font-size: 14px;">What causes Delayed Puberty?</span></strong></div> <div> Some teens are “late bloomers”  ( Constitutional Delay in Growth &amp; Puberty  )</div> <div> who just happen to start puberty  later than most children their age.</div> <div> Being a late bloomer is the  most common cause of delayed puberty. It’s not caused by </div> <div> a medical problem and usually doesn’t need treatment. Late </div> <div> bloomers will eventually start puberty on their own and catch up </div> <div> to their friends.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">Other Causes  of Delayed Puberty</span></strong></span></div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Genetic problems such as Klinefelter syndrome in boys.</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Problems with the testicles, which make sex  hormones.</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Malnutrition (not getting proper nourishment) due to an </div> <div>                eating disorder such as Anorexia .</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Problems with the pituitary or thyroid glands, which make </div> <div>              hormones that help children grow and develop.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">Evaluation of Delayed Puberty</span></strong></span></div> <div> Initial evaluation involves detailed history,physical examination with thorough assessment of external and internal genitalia.</div> <div>  </div> <div> <img alt="" src="/sites/default/files/1-s2.0-S175172220700145X-gr1.jpg" style="width: 700px; height: 389px; float: left;" /><span style="font-size: 12px;">Since bone maturation is a good indicator of overall physical maturation, an x-ray of the hand to assess bone age usually reveals whether the child has reached a stage of physical maturation at which puberty should be occurring. </span></div> <div> The most valuable blood tests are the Gonadotropins, because elevation confirms immediately a defect of the gonads or deficiency of the Sex Steroids. In many instances, screening tests such as a complete blood count, general chemistry screens, Thyroid tests, and urinalysis may be worthwhile.</div> <div> More expensive and complicated tests, such as a Karyotype or Magnetic Resonance Imaging of the head, are usually obtained  when specific evidence suggests they may be useful.</div> <div> Use of gonadotropin releasing hormone can be of value. </div> <div>  </div> </div></div></div> Mon, 17 Jun 2013 14:11:09 +0000 Dr. Ravi Kumar 46 at http://hyderabadendocrinology.com http://hyderabadendocrinology.com/content/delayed-puberty-boys#comments Precocious Puberty http://hyderabadendocrinology.com/content/precocious-puberty <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even"><div> <span style="color:#008080;"><strong><span style="font-size: 14px;">What is Precocious Puberty ?</span></strong></span></div> <div> Precocious puberty is the appearance of any sign of secondary </div> <div> sex characteristics in boys younger than age 9 and in girls </div> <div> younger than 8.</div> <div>  </div> <div> <strong style="color: rgb(0, 128, 128);"><span style="font-size: 14px;">Problems of Precocious Puberty</span></strong></div> <div> <span style="color:#4b0082;"><strong>Girls:</strong></span></div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span> Breast development</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span> Vaginal bleeding</div> <div> <span style="color:#4b0082;"><strong>Boys:</strong></span></div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span> Enlargement of the testicles and penis</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span> Facial hair</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span> Deepening voice</div> <div> <span style="color:#4b0082;"><strong>Both Boys and Girls:</strong></span></div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span> Pubic or underarm hair</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span> Rapid height growth—a growth “spurt”</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span> Acne</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span> Adult body odor</div> <div>  </div> <div>  </div> <div> <img alt="" src="/sites/default/files/preco_0.gif" style="width: 500px; height: 473px; float: left;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> <table align="left" border="1" cellpadding="1" cellspacing="1" style="width: 500px;"><tbody><tr><td> Prominent Breasts in 5 year old girl with Brain Hamartoma causing Precocious Puberty</td> </tr></tbody></table></div> <div>  </div> <div>  </div> <div> <img alt="" src="/sites/default/files/PRECOCIOUS-PUBERTY-4.gif" style="width: 500px; height: 473px; float: left;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> <div> <div> <table align="left" border="1" cellpadding="1" cellspacing="1" style="width: 500px;"><tbody><tr><td> Enlarged Penis seen in 4 year old boy with Precocious Puberty &amp; Advanced Bone Age</td> </tr></tbody></table></div> <div>  </div> </div> </div> <div>  </div> <div>  </div> <div> Near the end of puberty, growth in height stops.</div> <div> Because the bones of children with precocious puberty mature and stop </div> <div> growing earlier than normal, these children can be shorter than </div> <div> expected as adults.</div> <div> Precocious puberty can also cause emotional </div> <div> and social problems for children who are ahead of their peers in </div> <div> terms of sexual maturity.</div> <div>  </div> <div> <span style="color:#008080;"><span style="font-size: 14px;"><strong>What causes precocious puberty?</strong></span></span></div> <div> Two main types of precocious puberty are abnormal. The first </div> <div> is called central precocious puberty (cPP) and the second is </div> <div> peripheral precocious puberty (PPP).</div> <div>  </div> <div> Central precocious puberty occurs when the Hypothalamus releases GnRh and activates  puberty early.</div> <div> Which occurs due to problems  like tumor, brain trauma (such as a blow to the head, brain </div> <div> surgery, or radiation treatment to the head), or inflammation (such </div> <div> as meningitis). </div> <div>  </div> <div> Peripheral precocious puberty is rarer than central precocious puberty. It results from early production of sex </div> <div> hormones due to problems with the ovaries, testicles, or </div> <div> adrenal glands. </div> <div> Another cause can be external exposure to sex </div> <div> hormones (such as coming into contact with an estrogen or </div> <div> testosterone cream).</div> <div>  </div> <div> <span style="color:#008080;"><span style="font-size: 14px;"><strong>How is precocious puberty  diagnosed?</strong></span></span></div> <div> To make a diagnosis, your  doctor will take a medical </div> <div> history and perform a physical exam. Blood tests may be done </div> <div> to measure hormone levels. the doctor may order an x-ray of the </div> <div> hand to see if the child’s bones are maturing too fast. Sometimes </div> <div> a ct scan or MRI is ordered to check for a tumor. </div> <div>  </div> <div> <span style="color:#008080;"><span style="font-size: 14px;"><strong>How is precocious puberty  treated?</strong></span></span></div> <div> If your child has central precocious puberty, there are medications to prevent further  pubertal development.</div> <div>  If the problem is peripheral precocious puberty, the treatment will </div> <div> depend on the underlying cause. It could involve medications, </div> <div> surgery (if there is a tumor), or removing the external source of </div> <div> the hormones (such as estrogen cream). </div> <div>  </div> </div></div></div> Sat, 15 Jun 2013 14:01:42 +0000 Dr. Ravi Kumar 45 at http://hyderabadendocrinology.com http://hyderabadendocrinology.com/content/precocious-puberty#comments Premature Ovarian Failure http://hyderabadendocrinology.com/content/premature-ovarian-failure <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even"><div> <span style="color:#008080;"><strong>PROBLEMS OF PREMATURE OVARIAN FAILURE</strong></span></div> <div> <img alt="" src="/sites/default/files/pre-ov-fa.gif" style="float: left; width: 500px;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Missed or irregular periods</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Infertility</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Night sweats</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Vaginal dryness</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Irritability, depression, or anxiety</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Trouble sleeping</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Trouble with concentration or memory</div> <div>  </div> <div> <span style="color:#008080;"><strong>What is primary ovarian insufficiency ?</strong></span></div> <div> Primary ovarian insufficiency (POI), also called Premature Ovarian Failure, occurs when the ovaries stop working before a woman turns 40. </div> <div>  In Premature Ovarian Failure , the ovaries don’t produce normal amounts of Estrogen and don’t produce and release an egg each month.</div> <div>  </div> <div> <span style="color:#008080;"><strong>What causes Premature Ovarian Failure ?</strong></span></div> <div> In most cases the cause of Premature Ovarian Failure is unknown. Women with</div> <div> certain genetic disorders, such as Turner syndrome and Fragile X syndrome, are more likely to develop Premature Ovarian Failure. </div> <div> Also, exposure to toxins (through chemotherapy and radiation therapy) can damage genetic material in cells and lead to POI. </div> <div> Sometimes autoimmune disease—when your immune system attacks your own ovarian tissue—may be responsible for Premature Ovarian Failure .</div> <div> The risk of developing Premature Ovarian Failure increases if you have a family history of the disorder.</div> <div>  </div> <div> <strong><span style="color:#008080;">What are the health risks of Premature Ovarian Failure ?</span></strong></div> <div> <span style="font-size: 12px;">Because women with </span><span style="font-size: 12px;">Premature Ovarian Failure</span><span style="font-size: 12px;"> have low levels of Estrogen at a young age, several health problems are more common than in women without </span><span style="font-size: 12px;">Premature Ovarian Failure </span><span style="font-size: 12px;">:</span></div> <div> • Infertility. Most women with Premature Ovarian Failure cannot get pregnant</div> <div> naturally. No known fertility treatments are effective for Premature Ovarian Failure .</div> <div> Most women with Premature Ovarian Failure can carry a pregnancy but most often</div> <div> need to use donor eggs.</div> <div> • Osteoporosis. Low levels of Estrogen increase the risk of bone loss and fractures.</div> <div> • Heart disease. Low Estrogen early in life appears to increase the risk of heart attack as a woman ages.</div> <div> • Depression..</div> <div> If you have Premature Ovarian Failure , you may also be more likely to develop other Hormone-related disorders. </div> <div> Women with Premature Ovarian Failure should be checked periodically for deficiencies in Thyroid and Adrenal gland hormones once every 1 to 5 years.</div> <div>  </div> <div> <span style="color:#008080;"><strong>How is Premature Ovarian Failure diagnosed?</strong></span></div> <div> Your doctor will ask about your Menstrual history</div> <div> and any menopause-like symptoms you may be having. </div> <div>  </div> <div> Blood tests will be done to check hormone levels like Estrogen, FSH  and determine if your Ovaries are working properly. </div> <div>  </div> <div> Additional tests should also be done to check for possible genetic or autoimmune conditions that may be related to the ovarian failure like Karyotyping.</div> <div>  </div> <div> <span style="color:#008080;"><strong>How is Premature Ovarian Failure  treated?</strong></span></div> <div> Hormone therapy (HT) is the most common treatment. </div> <div> HT combines Estrogen and Progesterone, the sex hormones that are normally present in your body.</div> <div>  </div> <div> HT relieves menopausal symptoms and also helps prevent Osteoporosis.</div> <div> HT can be taken as a pill or applied to your skin as a gel, spray, or patch. </div> <div> Vaginal rings can also supply estrogen to the body.</div> <div>  </div> <div> Usually, HT is stopped when a woman with Premature Ovarian Failure reaches the age of natural menopause (around age 50).</div> <div> If you cannot or do not want to take HT, you might benefit from non-Hormonal treatments. </div> <div>  </div> <div> In addition to medical treatment, you can lower your risk of osteoporosis and heart disease by eating a healthy diet and exercising regularly.</div> <div>  </div> </div></div></div> Fri, 14 Jun 2013 05:14:28 +0000 Dr. Ravi Kumar 43 at http://hyderabadendocrinology.com http://hyderabadendocrinology.com/content/premature-ovarian-failure#comments Menopause http://hyderabadendocrinology.com/content/menopause <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even"><div>  </div> <div> <strong><span style="color:#008080;"><span style="font-size: 14px;">PROBLEMS OF MENOPAUSE</span></span></strong></div> <div>  </div> <div>  </div> <div> <img alt="" src="/sites/default/files/menopause_woman_website.jpg" style="width: 600px; height: 550px; float: left; border-width: 0px; border-style: solid; margin-top: 2px; margin-bottom: 2px;" /></div> <div>  </div> <div> <strong style="font-size: 12px; color: rgb(0, 128, 128);">WHAT IS MENOPAUSE ?</strong></div> <div> MENOPAUSE  is the permanent end of Menstruation and fertility, defined as occurring 12 months after your last menstrual period.</div> <div> <span style="font-size: 12px;">Menopause is the permanent cessation of menstruation due to loss of ovarian follicular function.</span></div> <div> The average age at menopause is 51 years.</div> <div> <span style="font-size: 12px;">PERIMENOPAUSE refers to the time period preceding menopause, when fertility wanes and menstrual cycle irregularity increases, until the first year after cessation of menses. </span></div> <div> The onset of perimenopause precedes the final menses by 2–8 years, with a mean duration of 4 years.</div> <div>  Smoking accelerates the menopausal transition by 2 years.</div> <div>  </div> <div> <span style="color:#008080;"><strong>WHAT CAUSES MENOPAUSE ?</strong></span></div> <div> Menopause occurs when the egg supply of a woman’s ovaries becomes critically low. As this occurs, the levels of female hormones (Estrogen and Progesterone) produced by the ovaries eventually decrease and decline to negligible levels.</div> <div> The menopause transition, and postmenopause itself, is a natural life change, not a disease state or a disorder.</div> <div> Hysterectomy,chemotherapy, radiation therapy, primary ovarian failure can also cause menopause.</div> <div>  </div> <div> <span style="color:#008080;"><strong>COMPLICATIONS OF MENOPAUSE</strong></span></div> <div> After menopause, your risk of certain medical conditions increases.</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Heart and blood vessel (cardiovascular) disease</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Osteoporosis. </div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Urinary incontinence</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Sexual function. </div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Weight gain. .</div> <div>  </div> <div> <span style="color:#008080;"><strong>DIAGNOSIS OF MENOPAUSE</strong></span></div> <div> Along with your signs and symptoms your doctor will take your medical and surgical history.</div> <div> You may need hormonal assessment like FSH, Estrogen .</div> <div>  </div> <div> <strong><span style="color:#008080;">TREATMENT OF MENOPAUSE</span></strong></div> <div> <span style="color:#4b0082;"><strong>Perimenopause: Treatment</strong></span></div> <div> For women with irregular or heavy menses or Hormonally related symptoms that impair quality of life, low-dose combined oral contraceptives are a staple of therapy. </div> <div> Static doses of Estrogen and Progestin  can eliminate vasomotor symptoms and restore regular cyclicity.</div> <div> <span style="color:#4b0082;"><strong>Menopause and Postmenopausal Hormone Therapy</strong></span></div> <div> <span style="font-size: 12px;">Hormone replacement therapy or HRT  is the use of Estrogen plus Progestin for a woman who has an intact uterus, or Estrogen alone for a woman who has had a Hysterectomy. Traditionally such therapy was provided as tablets but now is available in a range of formulations including skin patches, gels, skin sprays, subcutaneous implants and so forth.</span></div> <div>  </div> <div> Other medications include</div> <div> Selective estrogen receptor modulators</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Antidepressants - Paroxetine , Fluoxetine hydrochloride , and Venlafaxine hydrochloride have been used with some success in the treatment of hot flashes, improving sleep, mood, and quality of life. </div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Gabapentin</div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Alternative medicine - <span style="font-size: 12px;">Some botanical sources, referred to as phytoestrogens .</span></div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>Osteoporosis can be minimized by smoking cessation, adequate vitamin D intake and regular weight-bearing  exercise. The Bisphosphate drug Alendronate can help prevent loss of bone mass. </div> <div> •<span class="Apple-tab-span" style="white-space:pre"> </span>The risk of acute myocardial infarction and other cardiovascular diseases rises sharply after menopause, but the risk can be reduced by managing risk factors, such as tobacco smoking, hypertension, increased blood lipids and body weight..</div> <div>  </div> <div>  </div> </div></div></div> Thu, 13 Jun 2013 15:01:51 +0000 Dr. Ravi Kumar 42 at http://hyderabadendocrinology.com http://hyderabadendocrinology.com/content/menopause#comments Thyroid Swelling http://hyderabadendocrinology.com/content/thyroid-swelling <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even"><div>  </div> <div> <strong style="color: rgb(0, 128, 128);"><span style="font-size:14px;">Thyroid Swellings </span>can occur in  - </strong></div> <ul><li> <strong style="color: rgb(0, 128, 128);">Hypothyroidism , </strong></li> <li> <strong style="color: rgb(0, 128, 128);">Hyperthyroidism , </strong></li> <li> <strong style="color: rgb(0, 128, 128);">Euthyroid State ,</strong></li> <li> <strong style="color: rgb(0, 128, 128);">Thyroid Cancers / Benign Adenomas</strong></li> </ul><div>  </div> <div>  </div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;"><img alt="" src="/sites/default/files/goiter.gif" style="width: 500px; height: 262px; float: left;" /></span></strong></span></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> The Thyroid gland , located at the front of your neck, is a small butterfly shaped gland that is part of the body's endocrine system.</div> <div> An enlarged thyroid is called Goitre.</div> <div>  Large goiters, seen or felt at the base of the neck, may cause tightness in the throat, hoarseness, and difficulty breathing or swallowing. A swollen thyroid can increase or decrease the production of thyroid hormone and can present additional symptoms.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">Autoimmune Thyroid Disease</span></strong></span></div> <div>  </div> <div> In AutoImmune Thyroid Disease, the  Immune cells attack Thyroid Gland and damage it resulting in Under Production of Thyroid hormone  causing a disease called Hypothyroidism  (Hashimoto Thyroiditis )</div> <div> In AutoImmune Thyroid Disease, the  Immune cells attack Thyroid Gland and damage it resulting in Over Production of Thyroid hormone  causing a disease called Hypethyroidism (Graves Disease ) .</div> <div> In Graves Disease the excess hormones and increased stimulation of the gland causes the Thyroid to swell. </div> <div>  </div> <div> <img alt="" src="/sites/default/files/hashimoto-drawing-1.gif" style="width: 500px; height: 372px; float: left;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> Hashimoto's disease is when the immune system causes damage to the thyroid and does not produce enough thyroid hormone. The pituitary gland produces more TSH, or thyroid stimulating hormone, to try to stimulate the thyroid, which can cause a goiter.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">Thyroid Cancer</span></strong></span></div> <div> Thyroid cancer may present itself with a swollen nodule on one side of the neck. </div> <div> Only around one in 15 of such  nodules are found to be cancerous.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">Thyroiditis</span></strong></span></div> <div> Thyroiditis can cause temporary Hyperthyroidism followed by Hypothyroidism. It is an inflammation of the Thyroid gland, which may cause tenderness or pain to the neck, jaw or ears. Viruses, fever, medication, pregnancy or immune disorders may cause Thyroidtitis.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">Nodules</span></strong></span></div> <div> Nodules are lumps and bumps in the Thyroid gland.</div> <div>  </div> <div>  </div> <div> <img alt="" src="/sites/default/files/thyroid%20nodule.gif" style="width: 504px; height: 360px; float: left;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> Singular nodules, found on only part of the Thyroid, are often found to be benign.</div> <div> A multinodular Goiter is when multiple bumps develop on the Thyroid, causing the entire gland to swell.</div> <div>  </div> <div>  </div> <div> <img alt="" src="/sites/default/files/MN.gif" style="width: 504px; height: 360px; float: left;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> <strong style="color: rgb(0, 128, 128);"><span style="font-size: 14px;">Iodine Deficiencies</span></strong></div> <div> Iodine, found in seawater and the soil of coastal areas, is needed to produce thyroid hormones. A diet deficient in iodine can cause an enlarged goiter. The Thyroid swells in an effort to obtain more iodine from the body. </div> <div>  </div> <div> <img alt="" src="/sites/default/files/iod-deff.gif" style="width: 318px; height: 293px; float: left;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">How are thyroid swellings diagnosed?</span></strong></span></div> <div> Most Thyroid nodules are found during a routine physical exam.</div> <div> Your doctor might do one or more of the following tests:</div> <ul><li> Thyroid function tests( T3 , T4 &amp; TSH )</li> <li> Fine-needle aspiration biopsy uses a thin needle to remove cells or fluid samples from the nodule.</li> <li> Thyroid ultrasound is used to get an exact picture of the thyroid </li> </ul><p> </p> <p><img alt="" src="/sites/default/files/fnac.gif" style="width: 300px; height: 305px; float: left;" /></p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">How are thyroid swellings  treated?</span></strong></span></div> <div> Treatment depends on the type of thyroid swelling :</div> <div>  </div> <div> <strong><span style="color:#4b0082;">EUTHYROID GOITRE </span></strong></div> <div> Small size diffuse non malignant asymptomatic swelling can be left as such without any treatment. Large size diffuse swelling with obstructive symptoms has to be operated. THYROIDECTOMY is the surgery performed. If the swelling is malignant additionally lymph node dissection will also be done in the same sitting. </div> <div>  </div> <div> <strong><span style="color:#4b0082;">HYPERTHYROID GOITRE</span></strong></div> <div> Medically thyroid hormone level should be controlled by giving anti - thyroid drugs like neomercazole, propylthiouracil. Follow up investigations should be done till the thyroid become euthyroid. Followed by Thyroidectomy  or Radio Active Iodine Ablation .</div> <div>  </div> <div> <span style="color:#4b0082;"><strong>HYPOTHYROID GOITRE</strong></span></div> <div> This can be corrected by giving Tablet .</div> <div> Occasionally patient requires surery.</div> <div> Surgery depends on the size of the swelling, obstructive symptoms and nature of malignancy.</div> <div>  </div> <div> Experts recommend surgical removal of the Thyroid for nodules that are Cancerous or suspicious. </div> <div> Nodules, even when they are not cancerous, may need to be removed when they get too big and cause problems with swallowing or breathing.</div> </div></div></div> Wed, 12 Jun 2013 05:59:21 +0000 Dr. Ravi Kumar 41 at http://hyderabadendocrinology.com http://hyderabadendocrinology.com/content/thyroid-swelling#comments Pregnancy And Thyroid Disease http://hyderabadendocrinology.com/content/pregnancy-and-thyroid-disease <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even"><div> <span style="font-size:14px;"><span style="color: rgb(0, 128, 128);"><strong>WHY THYROID DISEASE OCCUR DURING PREGNANCY</strong></span></span></div> <div>  </div> <div> <img alt="" src="/sites/default/files/thy-diagram_0.gif" style="width: 500px; height: 340px; float: left;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> <strong style="font-size: 16px; color: rgb(75, 0, 130);">HYPOTHYROIDISM AND PREGNANCY</strong></div> <div> <span style="font-size:12px;">Hypothyroism is common in Pregnancy with an estimated prevalence of around 12%.</span></div> <div> <span style="font-size:12px;">During pregnancy due to abnormalities  in HCG , ESTRADIOL , TBG Thyroid disorders are common.</span></div> <div> Hypothyroidism is a condition in which the Thyroid gland does not produce enough Thyroid Hormone</div> <div>  </div> <div> <img alt="" src="/sites/default/files/pregnancy%20and%20thyroid.jpg" style="width: 223px; height: 300px; float: left;" /></div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div>  </div> <div> <strong style="color: rgb(0, 128, 128);"><span style="font-size: 14px;">How can Hypothyroidism affect your health ?</span></strong></div> <div>  </div> <div> Tiredness/sluggishness</div> <div> Feeling cold</div> <div> Muscle cramps</div> <div> Dry skin and hair</div> <div> Constipation</div> <div>  </div> <div> <span style="color:#008080;"><span style="font-size: 14px;"><strong>Risks of Hypothyroidism on mother and baby</strong></span></span></div> <ul><li> Miscarriage</li> <li> Affects the baby’s growth and brain development.</li> <li> Preeclampsia</li> <li> Low birth weight</li> <li> Stillbirth </li> <li> Anemia—too few red blood cells in the body, which prevents the body from getting enough oxygen</li> <li> Congestive heart failure</li> </ul><div> <span style="color:#008080;"><strong><span style="font-size: 14px;">What causes Hypothyroidism?</span></strong></span></div> <div> Hashimoto’s disease is the most common cause of Hypothyroidism. </div> <div> In this condition, your immune system attacks and damages your Thyroid, so it can’t make enough Thyroid Hormone.</div> <div>  </div> <div> <span style="color:#008080;"><span style="font-size: 14px;"><strong>How is Hypothyroidism in Pregnancy diagnosed?</strong></span></span></div> <div> Blood tests can measure your levels of Thyroid-stimulating hormone (TSH) and  Thyroid Hormone (T4). </div> <div> You have Hypothyroidism when you have low T4, and high TSH levels in your blood.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">How is Hypothyroidism treated?</span></strong></span></div> <div> People who have Hypothyroidism must take a pill containing Synthetic Thyroid Hormone every day</div> <div>  to replace the Thyroid Hormone they are defficient . </div> <div>  </div> <div> <span style="color:#4b0082;"><span style="font-size: 16px;"><strong>HYPERTHYROIDISM  AND  PREGNANCY</strong></span></span></div> <div> Hyperthyroidism occurs in about 0.2-0.4% of all pregnancies.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">How can hyperthyroidism affect your health?</span></strong></span></div> <div>  </div> <div> Feeling too hot</div> <div> Irritability and anxiety </div> <div> Increased sweating</div> <div> Muscle weakness</div> <div> Trembling hands</div> <div> Rapid heart beat</div> <div> Eye problems, such as protrusion , irritation or discomfort,</div> <div> Tiredness/fatigue</div> <div> Diarrhea or frequent bowel movement</div> <div>    </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">Risk of Hyperthyroidism on mother and baby</span></strong></span></div> <ul><li>  Miscarriage</li> <li> Hyperemesis Gravidarum</li> <li> Congestive Heart Failure</li> <li> Preeclampsia—a dangerous rise in blood pressure in late pregnancy</li> <li> Thyroid storm—a sudden, severe worsening of symptoms</li> <li> Premature birth</li> <li> Low Birth Weight</li> </ul><div> <span style="color:#008080;"><strong><span style="font-size: 14px;">What is Hyperthyroidism?</span></strong></span></div> <div> In Hyperthyroidism the thyroid gland is overactive and produces too much thyroid hormone.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">What causes Hyperthyroidism?</span></strong></span></div> <div> In pregnancy high levels of HCG stimulates Thyroid gland to produce more Thyroid Hormones .</div> <div> Graves’ disease also causes Hyperthyroidism.</div> <div> In it the immune system attacks the Thyroid gland, causing it to enlarge and make too much Thyroid Hormone. </div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">How is Hyperthyroidism diagnosed?</span></strong></span></div> <div>  Your doctor will perform a physical examination and order blood tests to measure your Hormone levels.</div> <div> You have Hyperthyroidism when the levels of T4 and T3 are higher than normal and the level</div> <div>  of TSH is lower than normal.</div> <div>  </div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">How is Hyperthyroidism treated?</span></strong></span></div> <div> • Antithyroid medications. These drugs lower the amount of Hormone the Thyroid gland makes. </div> <div> • Beta blockers can control many symptoms</div> <div> • Radioactive iodine is contra- indicated in pregnancy.</div> <div> • Surgery  - Surgical removal of the thyroid gland (Thyroidectomy).</div> <div>  </div> <div> <strong style="color: rgb(75, 0, 130);"><span style="font-size: 16px;">Postpartum Thyroiditis</span></strong></div> <div> <span style="color:#008080;"><strong><span style="font-size: 14px;">What is Postpartum Thyroiditis?</span></strong></span></div> <div> Postpartum Thyroiditis is an inflammation of the Thyroid.</div> <div> Thyroiditis causes stored Thyroid Hormone to leak out of the inflamed Thyroid gland and raise Hormone levels in the blood.</div> <div> Postpartum Thyroiditis is believed to be an Autoimmune condition and causes mild Hyperthyroidism that usually lasts 1 to 2 months. </div> <div> Many women then develop Hypothyroidism lasting 6 months before the Thyroid regenerates and regains normal function. </div> <div> In some women, the Thyroid is too damaged to regain normal function and their Hypothyroidism is permanent, requiring lifelong treatment with synthetic Thyroid Hormone. </div> <div>  </div> </div></div></div> Sat, 08 Jun 2013 14:08:09 +0000 Dr. Ravi Kumar 36 at http://hyderabadendocrinology.com http://hyderabadendocrinology.com/content/pregnancy-and-thyroid-disease#comments