Often, a medical crisis does not happen suddenly, and your body shows a few symptoms well before it reaches the critical phase. However, there are conditions when the symptoms occur quite suddenly, and one such is the Addisonian crisis.

Addison's disease is a condition that occurs when the body fails to produce sufficient levels of certain hormones that are secreted by the adrenal glands. In this disease, the adrenal glands produce too little cortisol and even low amounts of aldosterone at times. Often referred to as adrenal insufficiency, it may occur at any age, and both sexes are affected by it. The worst part is that the disease can be life-threatening.

The symptoms of Addisonian crisis-
While severe fatigue, hyperpigmentation, severe fatigue, lightheadedness, salt cravings, and muscle and joint pains are the common symptoms of Addison s disease, pain in your lower back, severe vomiting and diarrhea, low blood pressure, and high potassium and low sodium are the symptoms of acute adrenal failure (Addisonian crisis).

The low levels of cortisol associated with the Addisonian crisis are life-threatening; hence, when you experience one or more of these symptoms you must seek professional care immediately.

Treatment options that are available for Addison's disease-
Nearly all treatments for Addison's disease involve hormone replacement therapies for correcting the steroid levels that the body is not sufficiently producing. Some of the most effective treatment options for Addison's disease include:

Oral corticosteroid medicines- Prednisone, Hydrocortisone and Cortisone acetate may be used in the pill form for replacing cortisol. Sometimes, doctors also prescribe fludrocortisone for the replacement of aldosterone.
Corticosteroid injections- This is given to people who cannot take oral pills.
People diagnosed with Addison s disease are at risk of developing Addisonian crisis. Such people must be well-aware of how to tackle the condition if they are to face it. Some people have a home kit which includes hydrocortisone injection. One should not wait too long or wait to feel very weak before taking the injection. Also, it is important to call the emergency after taking the injection to get further treatment.

What should you do to prevent and manage the Addisonian crisis?

If you indulge in heavy workout sessions, you should take ample amount of sodium. This is also recommended when you are experiencing a stressful situation, including any infection, operation or some minor illness.
You should not skip your meals or indulge in binge eating, but focus on having a well-balanced diet. You should also take plenty of healthy fluids throughout the day. Avoid exercising or doing any physically strenuous job in hot and humid weather. Also, you need to balance your active stretch of time with adequate rest.

Taking the prescribed medications on time, and carrying a hydrocortisone kit is crucial. Also, you may carry a card stating the condition that can help during an emergency.

Addison s disease, in most cases, cannot be cured; so, it is vital to be aware of the symptoms and the ways to manage them to avoid an emergency.

Addison Disease - Treatment Options, Management and Prevention

Are you suffering from diabetes? If yes, then it s time for you to be extra careful about your health. Diabetes may cause several other diseases as well. You must check your lifestyle and take medical efforts to get rid of diabetes as soon as possible. 


You are at risk of developing nerve damages (neuropathy), vascular injuries and other heart diseases, regardless of your age, sex or other external or internal factors. Diabetes patients must strive to maintain fasting blood glucose levels less than 110 mg/dL and hemoglobin HbA1C level less than 7%.  Also, diabetes patients should keep a check on blood pressure and cholesterol levels. 


Here s how diabetes can affect your overall health:
1. Check your heart: There is a correlation between blood pressure, cholesterol levels and diabetes. Researchers have found that high bad cholesterol levels act as a hindrance to insulin regulation. People with diabetes are more likely to develop heart-related diseases. About 60% diabetes patients die due to heart attacks. Diabetes is responsible for hardening of arteries or atherosclerosis. This situation is dangerous and can cause heart attacks, strokes or other chronic diseases.


2. Neuropathy: Diabetes leads to impaired nerve function. This is called neuropathy. This condition is of two types: Peripheral (which affects toes, feet, legs, hand and arms) and Autonomic (which affects digestion, bowel, bladder, heart and sexual activity). Symptoms of neuropathy include tingling, weakness, burning sensation, numbness in the limbs, digestive disorders, infection of the bladder and erectile dysfunction.


3. Nephropathy: Diabetes is responsible for causing damage to the kidneys as well. This is called nephropathy. In this condition, the filters in the kidney or glomeruli get damaged. As a result, there is a leakage of protein in the urine. Consequently, kidneys get damaged. Urine showing small amounts of protein is an indication of kidney damage. About 20-40% patients suffering from diabetes die due to renal failure. The symptoms of renal disorder due to diabetes include itching, fatigue, urine with protein, swelling of feet and ankles and pale skin colour.


4. Foot ulcers and amputations: Diabetes causes non-injury amputations as it affects the nerve in the limbs, especially foot. Usually, minor infections in the foot may lead to ulcers and later require amputation. In rare cases, Charcot joint or Charcot foot may also occur. This is called neuropathic arthropathy. The symptoms include swelling and reddening of the foot. The bones of the affected foot have a tendency to develop cracks, deforming the entire region.


5. Retinopathy: Diabetes leads to blindness in adults. The eye disorder caused due to diabetes is called retinopathy. Patients with diabetes develop cataract easily. The capillaries and blood vessels in the retina get damaged or obstructed, resulting in damage to the entire retina.

Diabetes: It Can be the Reason Behind Other Disorders

To understand about hypothyroidism, it is essential to first understand the thyroid gland. Thyroid is an endocrine gland situated in the neck and produces the thyroid hormone. This hormone is then carried through the blood to different cells of the body. It helps the organs to function properly maintain the temperature of the body. The two thyroid hormones are Triiodothyronine (T3) and Thyroxine (T4). They regulate protein, fat, carbohydrates and vitamins in the body along with the metabolism. They are also responsible for the proper differentiation and development of cells.

Hypothyroidism or underactive thyroid or low thyroid
This is a condition where the thyroid gland is underactive and produces a low amount of the thyroid hormone. To help the thyroid gland produce the required amount of T3 and T4 hormones, the pituitary gland will make additional thyroid stimulating hormone called TSH. Due to this additional secretion of TSH, one also develops chance of thyroid gland enlargement and in some cases, it can form a goiter. 

The major cause of the low level of thyroid hormones is considered to be iodine deficiency. Hence the addition of iodine to the common salt has always been considered to be a safe method to prevent goiter. There can be several other causes of hypothyroidism such as weak immune system, radiation, surgery, Hashimoto s disease, hormonal changes etc. It can be caused due to pregnancy and is called postpartum thyroiditis.

Symptoms of Hypothyroidism
Whatever be the cause of hypothyroidism, it can show the following mild symptoms:

Increased sense of fatigue or tiredness
Sudden increase in weight with puffiness on the face
Hoarse voice
Muscle weakness with aches, tenderness and stiffness
Joint pain or stiffness
Increased sensitivity towards cold thus causing dry skin
Constipation due to slow metabolism
Decreased heart rate
Elevated blood cholesterol level
Irregular menstrual periods
Decreased concentration and depression too
However, it is important to understand that you may show no symptoms or show some mild symptoms that can be easily confused with some other condition. Hence, a proper diagnosis is a must to confirm hypothyroidism.

Diagnosis of hypothyroidism
The most common tests to determine if you have hypothyroidism are TSH Testing and T4 Testing. In case the low level of TSH is due to a defect in the pituitary gland, your doctor may request for another test called TRH. Also, Anti-thyroid Microsomal Antibodies Testing or thyroid peroxidase test (TPO) helps in identifying if the thyroid gland is damaged.

Treatment of hypothyroidism
Hormone replacement therapy is the best form of treatment available today. It involves the use of synthetic Levothyroxine (T4) or liothyronine (synthetic T3). Before these synthetic hormones were used for several years, however, prescribing thyroxine tablets is the most common mode of treatment and they are generally given for a really long period of time, although the dosage may vary. It is only in rare cases of severe decompensated hypothyroidism that one requires hospitalization.

Apart from the above treatment options, it is best advised to avoid soy products, sugary processed foods and alcohol to keep a check on hypothyroidism. In case you have a concern or query you can always consult an expert & get answers to your questions!

Hypothyroidism - Signs Your Kid Is Suffering From It!

The thyroid hormones, namely T3, T4 and TSH (Thyroid Stimulating Hormone) play a pivotal role in various metabolic processes in the body. Any imbalance in the level of these hormones can interfere with the normal body functions. While an elevated level of the thyroid hormones gives rise to Hyperthyroidism, a reduced level of the same thyroid hormones can lead to a condition medically termed as Hypothyroidism. A proper diagnosis and treatment can bring about a significant improvement. However, there are some common mistakes that many people with thyroid problems often make.

Choose your diet with care: The health benefits of a balanced and nutritious diet are known to all. However, a food considered healthy may not be an ideal choice for a thyroid patient. Time and again, broccoli and kale have been recommended for its nutritive value. However, these vegetables may not be a good choice for thyroid health. Known to contain goitrogens, they may interfere with the production of the thyroid hormones. Gluten, a protein present in wheat, rye, and barley, though healthy should be avoided, especially in the case of Hypothyroidism.
Obesity may not be the trigger: While it is a healthy practice to maintain a healthy body weight, it is unfair to blame the extra kilos for every single disease that you suffer from. Many people believe that losing weight is the best way to deal with thyroid problems. However, the fact is quite different from what you believe. Thyroid problems can be an outcome of various triggers where losing weight may provide negligible or no assistance to reverse or improve the condition. In fact, rapid weight loss may give rise to some complications which may aggravate the condition further.
Thyroid glands are not always at fault: Many people associate thyroid problems with some abnormalities or improper functioning of the thyroid glands. There is no denying the fact that problems in the thyroid glands often trigger thyroid disorders. However, this is not the only cause. A host of other factors such as stress, medical conditions, certain medications and unhealthy lifestyle habits may be equally responsible for the thyroid problems. In some cases, the body may fail to utilize the thyroid hormones produced by the thyroid glands. In another condition, the thyroid hormone produced is unable to enter the cell (triggered by a problem in the cell receptor). It is important to identify the root cause of the problem rather than generalizing.
People with hypothyroidism do not need to gulp down tons of iodine. Always use the amount recommended by the doctor. Increased intake of iodine supplements (way above the recommended quantity) may result in unnecessary health complications such as Wolff-Chaikoff effect.
Many health organizations or individuals may promise instant relief and cure. They may lure you with some irresistible offers. However, it will be foolish on your part to fall for such claims. Always seek the help of experienced and genuine health professionals.

Thyroid - 5 Common Mistakes That Most People Do!

One of the most important decisions a couple takes is to start a family. It fills them with hope and joy of new future, but if the attempts have been unsuccessful for more than six months, it can take a toll on the relationship and the mental health of the couple. This is the time to seek fertility specialist who will be appropriate to analyze the situation and provide proper guidance. Read on to find out the exact indications to see a fertility specialist:

1. If a woman who is under the age of 35 is unable to get pregnant even after a year of having regular unprotected sex
2. A woman who has had more than three miscarriages
3. Someone who has suffered from blocked fallopian tubes and is in need of surgery
4. One who experiences irregular ovulation
5. A couple who has suffered from genital infections
6. A pregnant woman who has consumed an estrogen derivative
7. A man who has been diagnosed with low semen count, also known as poor motility
8. A couple who has not been diagnosed with any irregularity but is infertile

Which specialist should you visit?

If you or your partner or both have shown signs of infertility, then visiting the following specialists can be helpful:

Specialists for men

Urologists and Andrologists are specialists who treat men for infertility. Urologists conduct an analysis of semen quality, semen count, hormone levels, reproductive organs and abnormalities in bladder and kidneys. Andrologists are medical professionals who specialize in hormonal conditions and physiology of male infertility.

Specialists for women

Hormonal imbalance is one of the potent obstacles to pregnancy. If a general obstetrician/gynecologist has not been able to successfully treat a woman then she can visit a reproductive endocrinologist who specializes in hormonal disorders. Depending upon the nature of the problem, she can also visit a reproductive surgeon who deals with uterine abnormalities, endometriosis, and reproductive organ surgery.

When Should a Couple See a Fertility Specialist?

Pregnancy is a time when women need to be in the best of their health. Yet, there are various kinds of conditions and ailments that a pregnant woman can suffer from. One of them is gestational diabetes mellitus. Gestational diabetes is a type of diabetes mellitus that usually afflicts pregnant women who are suffering from high glucose levels in their blood. Let us get to know more about this condition.

Timing: gestational diabetes strikes an expecting mother around the third trimester. This is usually the time when pregnant women exhibit levels that are higher than normal. This may be due to the fact that the placental lactogen can block the action of the insulin receptors, leading to a spike in blood sugar levels.&nbsp;

Past history of diabetes: women who have not previously witnessed a rise in their blood sugar levels or any previous diagnosis of diabetes can also end up contracting gestational diabetes during their pregnancy due to an ineffective insulin response of the body and its chemicals. Also, after suffering from gestational diabetes, women are at a higher risk of suffering from type 2 diabetes mellitus, thereafter.&nbsp;

Untreated gestational diabetes: the children born to mothers, who were not treated properly for gestational diabetes, are usually at risk of various other ailments. These children may be prone to complications during delivery. After birth, they are prone to various issues like low blood sugar levels as well as jaundice. These children may not be able to enjoy a normal delivery, and may have to be delivered via caesarean section, and even face premature delivery.&nbsp;

Food: it is important to monitor the blood sugar levels in gestational diabetes. One of the best ways to do this is to follow a proper diet plan. The food in the diet of these expecting mothers should include dietary fibres, carbohydrates and other nutrients like protein, calcium and iron. It is important to break the meals down into smaller portions or mini meals so that the insulin inhibitors can do their work more effectively, even as the body and the baby remain nourished.&nbsp;

Exercise: while most forms of exercise are discouraged during pregnancy, it is always a good idea to remain fit by doing your chores and walking. Pre-natal yoga can also help by introducing certain yogic poses that are good for expecting mothers. Gestational diabetes can also be tackled with the help of exercises like walking.&nbsp;
Gestational diabetes must be treated on time, and properly, so as to avoid complications for the baby and mother during and after birth.


Things To Know About Gestational Diabestes

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