Hypothyroidism is a condition in which the thyroid gland is not producing the thyroid hormones adequately. This is a fairly common condition.

What is thyroid gland?

The thyroid gland is a small butterfly-shaped gland located just below Adam s apple. It encircles the windpipe or the trachea. It is about 4 cms in height and weighs about 18 gms. This gland is responsible for the secretion of thyroid hormones. Hormones are chemicals produced by special glands like thyroid, adrenals, ovaries etc. They act as messengers and are carried by the blood to the various target organs.

What are the hormones produced by thyroid gland and what do they do?

The thyroid hormones are of two types   T3 (Tri iodo thyronine) and T4 (Thyroxine). These hormones are mainly responsible for the body s metabolism - a process in which food is converted into energy in the cells. They influence growth and development and regulate various bodily functions which are mentioned below:

Heartbeat
Body temperature
Breathing
Body weight
Metabolism of fat
Menstrual cycles in females
Functioning of Nervous system
Digestion
Burning calories etc.
What is Hypothyroidism?

Inadequate production of hormones by the thyroid gland is termed as hypothyroidism. This is also called Underactive thyroid state. Hypothyroidism can make the body s development to slow down and reduces metabolism rates.

What are the causes of Hypothyroidism?

Hypothyroidism can be caused by a number of factors:

Hashimoto's thyroiditis: This is the commonest cause. This is an autoimmune disorder (normally body s defence system fight against external infections. In autoimmune disorder the defence system attacks the healthy cells of the body by mistake). In Hashimoto s thyroiditis the immune system/defence system produces antibodies that attack the thyroid gland and destroy it.
Iodine deficiency in diet. For the production of thyroid hormones iodine is very important. The body does not produce iodine normally, so it needs to be supplemented from outside. Iodine is mainly present in the food we eat. It is mainly present in shellfish, salt-water fish, eggs, dairy products. If a person does not eat iodine rich foods, he may end up with iodine deficiency leading to hypothyroidism. Currently, this causative factor is on the decline due to government initiative of table salt with iodine.
Surgery: Surgery to remove thyroid gland (for e.g. thyroid cancer treatment, overactive thyroid etc.)
Radiation to the neck (to treat cancer in the neck area): The thyroid gland cells are damaged due to the radiation.
Treatment with radioactive iodine: This treatment is used for managing hyperthyroidism/overactive thyroid, where the thyroid gland produces excessive thyroid hormones. One of the treatment modalities is by radioactive iodine. Sometimes this radiotherapy destroys normal functioning cells which lead to hypothyroidism.
Certain medicines: Certain medicines used to treat heart conditions, cancer, psychiatric conditions etc.   for e.g. amiodarone, lithium, interleukin-2, interferon-alpha.
Pregnancy: Pregnancy (the reason is unclear but it has been noticed that the thyroid may get inflamed after delivery   this is called Postpartum thyroiditis.
Damage to the pituitary gland: Pituitary gland is a gland which is present in the brain. It produces a hormone called TSH (Thyroxine-Stimulating hormone).The TSH tells the thyroid gland how much thyroid hormone it should make. If the levels of thyroid hormone in the blood are low, then the TSH will stimulate the thyroid gland to produce more Thyroid hormone.
Hypothalamus disorders: This is an organ in the brain. This produces a hormone called TRH (Thyrotropin Releasing Hormone) which acts on the Pituitary gland to secrete TSH. So any disorder of Pituitary gland will indirectly effect the production and secretion of Thyroid hormones. These are very rare disorders.
Congenital thyroid defects: Some babies are born with thyroid problems. This is due to the thyroid not being developed normally during pregnancy. Sometimes the thyroid gland does not function normal. This can be identified by screening for thyroid disorders in the first week after delivery. This is usually by a blood test using a small drop of blood from the baby s heel.
What are the different types of hypothyroidism?

One classification is based on whether the defect is with the thyroid gland or not:

Primary hypothyroidism: The problem is in the thyroid gland itself and thus there is reduced production /secretion of thyroid hormones.
Secondary hypothyroidism: Here the problem is with the Pituitary gland or the Hypothalamus. This results in abnormal production of TSH or TRH, which indirectly leads to less production and secretion of thyroid hormones.
Another classification is based on the symptoms and levels of the thyroid hormones and TSH:

Overt hypothyroidism: Here the patient is having the symptoms. Further the T3/T4 are low and TSH is high
Subclinical hypothyroidism: Here patient may or may not have symptoms. The T3/T4 levels are normal but TSH is high. In this situation the patient is at an increased risk of developing overt hypothyroidism in the future especially if he has Thyroid peroxidase antibodies on testing.
Who are at risk of developing Hypothyroidism?

Women have a higher risk of suffering from hypothyroidism than men.
Older people are at increased risk.
People suffering from other autoimmune diseases like Coeliac disease, Type-1 Diabetes Mellitus, Vitiligo, Pernicious anemia, Multiple sclerosis, Rheumatoid arthritis, Addison s disease etc.
People with psychiatric conditions such as bipolar disorder
People with Chromosomal abnormalities like Down syndrome, Turners syndrome also have a high risk of suffering from hypothyroidism.
What are the symptoms of hypothyroidism?

Symptoms vary from person to person. They may also mimic other conditions and hence be difficult to diagnose. Symptoms may also develop very slowly over a span of moths-years. Some of the characteristic symptoms of this disease are:

Depression
Constipation
Hair loss
Dry hair
Dryness of the skin
Tiredness
Body pains
Fluid retention in the body
Irregular menstrual cycle
Increased sensitivity to cold
Reduced heart rate
Increase in size of the thyroid gland   called Goitre. This is due to constant stimulation of the thyroid gland by TSH.
Weight gain
Carpal tunnel syndrome
Hoarse voice
Infertility
Loss of libido/sex drive
Confusion or memory problems especially in the elderly
What are the symptoms to look for in a baby if you suspect hypothyroidism?

Infants suffering from congenital hypothyroidism may show no symptoms or exhibit signs of excessive drowsiness, cold hands, cold feet, constipation, hoarse cry, poor growth or absent growth, poor appetite, bloating of abdomen, puffiness of face, swollen tongue, persistent jaundice.

How to diagnose hypothyroidism?

Blood tests:

TSH: This hormone is made in the pituitary gland and it stimulates the thyroid gland to produce thyroxine. If the thyroxine levels are low in the blood, the pituitary gland produces and secretes more TSH into the blood to act on the thyroid gland to produce more thyroxine. A raised TSH level indicates hypothyroidism. Other tests are not usually necessary unless a rare cause of hypothyroidism.
T4: A low level of thyroxine indicates hypothyroidism.
T3: these levels are generally not needed to diagnose hypothyroidism
Anti-Thyroid peroxidase antibodies (anti-TPO antibodies) or Anti- thyroglobulin antibodies are present in 90-95% of patient with autoimmune thyroiditis.
Other blood tests include Creatinine Kinase, Serum Lipids, Complete blood picture etc.
Ultrasound of the neck is done if the patient presents with a thyroid swelling.
What is the treatment of hypothyroidism?

Overt hypothyroidism is treated by synthetic Thyroxin hormone which should be taken every day on an empty stomach at least 30   45 minutes before breakfast. The treatment is continued for the rest of the patient s life. Regular thyroid function tests are done once every 8 weeks-12 weeks to adjust the dose of the thyroxine in the initial period of diagnosis. Once the thyroxine dose is stabilised, the tests can be done even once a year. This treatment is quite effective.

Sub-clinical hypothyroidism is only treated if the patient is a woman and is contemplating pregnancy, in patients with symptoms or if the TSH is quite high.

What are the side-effects of thyroxine medication?

There are few side effects if any. Most people tolerate these medications quite well. An important consideration before starting medication is to check if the patient has chest pain/angina. These people are started on the least available dose. If these patients are started on a higher dose they notice a worsening of their angina pains.

Side effects mainly occur if the thyroxine dose is high which leads to hyperthyroidism. The symptoms of this could be palpitations 9increased heart beat), weight loss, profuse sweating, anxiety, irritability etc.

There are some tablets which increase with thyroxine tablets. These include carbamazepine, iron supplements, calcium supplements, rifampicin, phenytoin, warfarin etc.

What are the complications of hypothyroidism?

If untreated hypothyroidism can lead to:

heart problems like heart attack due to increased levels of bad cholesterol like LDL, or heart failure due to fluid retention
obesity
infertility
joint pains
depression
A pregnant woman with hypothyroidism is at increased risk of giving birth to a baby with congenital hypothyroidism, also known as cretinism. Further, the woman may have pregnancy related complications like pre-eclampsia, premature delivery, low birth weight baby, anemia, post-partum haemorrhage (bleeding after delivery) etc.
Myxoedema is another complication where the patient has extremely low levels of thyroid hormone. The body temperature drops drastically making the person lose consciousness or go into a coma.
References:

2013 ETA Guideline: Management of Subclinical Hypothyroidism; European Thyroid Association (Nov 2013)
Management of primary hypothyroidism: statement by the British Thyroid Association Executive Committee; British Thyroid Association (2015)
The diagnosis and management of primary hypothyroidism; Royal College of Physicians and others (June 2011)
Suh S, Kim DK; Subclinical Hypothyroidism and Cardiovascular Disease. Endocrinology Metabolism (Seoul). 2015 Aug 4.
UK Guidelines for the Use of Thyroid Function Tests; British Thyroid Association (2006)
Gaitonde DY, Rowley KD, Sweeney LB; Hypothyroidism: an update. American Family Physician. 2012 Aug 1 86(3):244-51.
Bindra A, Braunstein GD; Thyroiditis. American Family Physician. 2006 May 15 73(10):1769-76.
Wilson GR, Curry RW Jr; Subclinical thyroid disease. American Family Physician. 2005 Oct 15 72(8):1517-24.
British National Formulary; NICE Evidence Services (UK access only)
Baumgartner C, Blum MR, Rodondi N; Subclinical hypothyroidism: summary of evidence in 2014. Swiss Medical Weekly. 2014 Dec 23 144:w14058. doi: 10.4414/smw.2014.14058. eCollection 2014.

Know Everything About Hypothyroidism

In medical science, the term used to refer white patches on the skin is vitiligo. This can appear on various parts of the human body. These are commonly found to develop on hands, feet, arms, legs, face, lips, and around the eyes and mouth. Researchers are not aware of the exact cause behind this skin disease. Some experts believe that it could be an instance of any kind of an autoimmune disorder.

The immune system attacks the melanocytes or the cells that produce skin coloring pigment i.e. melanin. It can also be caused due to genetic factors, excess exposure to sunlight, stress and deficiency of vitamin B12. The white patches are also caused due to infection caused by fungus like tinea versicolor.

Whatever be the cause, the problem is quite embarrassing for all. It mars your beauty and makes you look ugly. There are cosmetics and medicines to treat the condition. 

But you can also choose some home-based remedies from the list below to get rid of the white patches:

Babchi: It is an effective remedy for the problem of hypopigmentation or white patches. It has antipsoriatic properties. You must soak the seeds of this herb in the juice of ginger for at least three days. You must replace the ginger juice timely. It is thereafter advised to remove the husk from the seeds and dry them under the sun to make a powder out of it. Mix the powder with 40gms of milk a day and consume it. You can also put babchi oil on the skin and stay under the sun for 15 minutes.
Ginkgo Biloba: It has antioxidant properties to fight against the white patches. It hampers the spread or progress of the disease. You should consume 40-80mg of this three times in a day.
Coconut Oil: It helps in soothing the skin and cures inflammation. It helps in re-pigmentation. It is antifungal in nature.
Ginger: It benefits the blood. It boosts the production of melanin. Place a slice of ginger on the white patch and let it dry. You must repeat this twice daily for a week to see the best result.
These are just a few of the home-based remedies. You must consult your dermatologist for expert advice. Your treatment may vary on the gravity of the situation. Your doctor will be in the best position to tell you what suits you the most.

Vitiligo - Home Remdies to Treat Vitiligo on Body

Atopic Dermatitis is a specific type of eczema which occurs when the epidermal layer of the skin is affected by eczema causing bacteria and other microorganisms. These eczemas are treatable and homeopathy finds a simple and natural solution to this disease. It not only helps to contain the disease from spreading it to other parts of the body but also helps in curing it of the root itself. There are some quick and effective remedies towards atopic dermatitis through homeopathy. Some of these are explained below.

Antimonium Crudum: People who have eczema which manifests as thick and hard boils are often given this medicine. In fact, it is administered both to children and the elder people. It has been seen that those who show symptoms of irritability in their behavior, get angry very soon and are most likely to be left alone, are the ones who are given this treatment to cure their eczema.
Arsenicum: Sometimes eczema is formed where boils turn thick and hard and have pus oozing out of it. For such skin infections, Arsenicum is the most widely used medicine that the homeopathic practitioners rely on. People who face such kinds of skin diseases are often seen to be depressed or melancholic in their lives. Thus, their mental feelings are often manifested in the form of eczema on their body.
Calcarea Carb: Eczema not only occurs on the body but also on the scalp. There are a few kinds of infections which have their roots on the scalp and then it starts spreading all over the face. For such kinds of infection, Calcarea Carb is the best form of homeopathic medicine which can be administered. In fact, patients with this problem are mostly children.
Graphites: Seems to be a very powerful and effective medicine against eczema which resembles ars. It is given to those patients whose skin becomes very hard and rough and there seems to be pus formation within the infection. Eruptions may be occurring in the eyes, behind the ears, and on the cheeks. Such infections are treatable with graphites.
Thus, if you are showing signs and symptoms of atopic dermatitis, then you should immediately consult your nearest homeopathic practitioner and get the proper medicine prescribed for yourself. Eczema would only spread and cause irritation in the skin if not timely treated and homeopathy offers one of the best types of treatments for this purpose.

Homeopathic Treatment For Atopic Dermatitis!

Ringworm is a skin condition that is caused by certain kinds of fungi. It causes severe itching and is mainly found around the scalp and feet. This contagious skin condition can also occur as athlete's foot. The symptoms include red, itchy and scaly patches on the affected areas. These patches may also develop blisters and develop crusted red edges, giving it the appearance of a ring. These patches are usually raised or defined. There are many myths and facts surrounding ringworm. Let us find out more about them.

Causes: it is a common myth that this skin condition is caused by a worm. This is not true. This fungal skin infection is caused by fungi known as dermatophytes, which can cause a crusty and red patch on the skin. Ringworm is actually the name given to a class of skin ailments and infections caused on the scalp, feet and other parts of the body.

Treatment: another common myth is that this skin infection will clear up on its own. This is not true either. One will have to start treatment of the condition with the help of proper diagnosis, which can be done by a skin specialist or dermatologist. Not treating this condition on time with topical ointments can lead to a spread of the condition where it can affect other parts of the body. This condition can also lead to other symptoms like hair loss. It can also become a permanent issue if not treated on time and with proper medical intervention.

Over the counter medication: many people think that using over the counter antifungal creams can help in treating this condition effectively. This is part myth and part fact. One will have to visit the doctor in case the condition does not clear up on time with the use of such topical ointments. The creams should typically be prescribed by a skin specialist after due diagnosis of the problem so that it suits your individual symptoms and condition. Further, these creams should usually be prescribed for a period of at least four to six weeks so that the treatment is effective.

Contagious: it is a myth that ringworm is not a contagious skin disease. The fact is that this skin ailment is a highly contagious one, that can happen even when there is contact with an infected animal. There are 50% chances of contracting this condition with mere touch that can happen with an infected animal or person.

Barber's itch: this is not a form of lice, as many people believe. This is a form of ringworm that can be found in the beard with symptoms like itching as well as swelling.

Myths and Facts About Ringworm

Cellulitis is an intense and chronic aggravation of the connective tissue of the skin, brought on by infection with a kind of bacteria (staphylococcus, streptococcus or other microbes). Cellulitis often occurs on uncovered areas of the body, for example, the arms, legs, and the face. It is basically characterised by excessive redness, swelling, warmth and pain or pain at even the most delicate touch.

Homeopathic medications are extremely productive in treating cellulitis, although these will have to be prescribed by a doctor only. The medicines work very efficiently by increasing the immunity of the patient along with a decrease in the swelling, pain and burning in cellulitis. Indeed, even in instances of cellulitis with blister formation, homeopathic medications are very effective and are usually administered in small doses of natural elements. Following are some of the homeopathic medications so as to cure cellulitis:

Belladonna for redness of skin during cellulitis: The Homeopathic cure Belladonna is a normal medicine for cellulitis where the skin is extremely red and swollen giving it a sparkling appearance. Patients that feel excruciating pain even at the slightest touch will also require Belladonna.
Apis Mellifica for cellulitis during swelling: Apis mellifica is suited for those instances of cellulitis where there is much swelling of the affected zone along with a burning and stinging pain. Apis mellifica helps those cases of cellulitis in which the smouldering pain is relieved by applying something cool over the skin and the pain that quickly spreads over various parts of the body.
Ledum Palsture for cellulitis due to insect bites: The Homeopathic solution Ledum palustre holds a very effective reputation in treating those instances of cellulitis that occur because of bug bites. This common homeopathic solution is used as a part of cellulitis when there is a cold sensation in the affected area with tearing pain.
Pyrogenium for septicaemia in cellulitis: Pyrogenium is a well-known solution for treating this condition. It is used for a number of symptoms. This could include a fever with the body temperature being 103 to 106 degrees. It rises rapidly with an unusually fast heartbeat and restlessness.
Calendula Officinalis in Post-surgical cellulitis: Without a doubt, the best homeopathic solution for cellulitis that has come after surgical cuts is Calendula officinalis. This prescription acts productively as a corrective as well as a preventive measure for pus formation on the skin after the surgery.
Silicea for treating cellulitis when blisters show up on the skin: The homeopathic cure Silicea gives great results when blisters or sores are shaped on the skin in extreme cellulitis cases. These blisters are usually filled with pus, which is quite harmful if the blister bursts. Silicea is also used when there is fever with chills and perspiration.

Treating Cellulitis with Homeopathy Remedies - 6 Best Cure

What is Psoriasis? 

Psoriasis is a common skin disease characterized by thickened patches of inflamed, red skin covered with thick, silvery scales. The elbows and knees are the most common areas affected by psoriasis. It will often appear in the same place on both sides of the body. The patches can range in size from smaller than a dime to larger than a hand. 

Description of Psoriasis-

Normally, skin cells mature and shed after about a month. In psoriasis, the cell maturation speeds up, taking only three to four days. Because the lower layer of skin cells divide more rapidly than normal, dead cells accumulate in thicker patches on the skin's outermost layer called the 'Epidermis'. 

Forms & Classifications-

Psoriasis occurs in a variety of forms that differ in their intensity, duration, location, shape and pattern of scales. The most common forms are: 

Plaque Psoriasis: Plaque psoriasis is the most common form of psoriasis. It is characterized by raised, inflamed, red lesions covered with a silvery-white buildup of dead skin cells (scales). This is found primarily on the Body, elbows, knees, scalp and finger or toe nails. 
Guttate Psoriasis: Guttate psoriasis occurs most frequently in children and is characterized by numerous small, red, drop-like scaly macules that develop rapidly over a wide area of skin. This may appear following an infection, most frequently strep throat. 
Inverse Psoriasis: Inverse psoriasis occurs in the armpit, under the breast, in skin folds, around the groin, in the cleft between the buttocks and around the genitals. It is usually pink and irritated but lacks the thick scale seen in other forms of psoriasis. 
Pustular Psoriasis: Pustular psoriasis is a rare form characterized by small pustules (whitehead-like lesions) found all over the body or confined all over the body or confined to the palms, soles and other isolated areas of the body. 
Palmoplantar Psoriasis: This type of Psoriasis are most likely to show up on the palms and soles. It can also appear on the tops of your feet, backs of your hands, and on knuckles and nails. It may be triggered by an injury to the skin, an infection, or another skin condition such as hand dermatitis. It may first occur during a period of psychosocial stress. Lesions are like cuts which bleed.
 Psoriasis - Homeopathic Treatment

The patient should be encouraged to expose maximum to sunlight and avoid trauma during the active phase.

Homeopathic treatment of psoriasis   Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach.

This is the only way through which a state of complete health can be regained by removing all the signs and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat psoriasis but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned; several well-proved remedies are available for psoriasis treatment that can be selected on the basis of cause, location, sensation, modalities and extension of psoriasis. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person.

Homeopathy For Psoriasis!

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