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

Eczema is a common skin problem that appears as red, raised rashes on the skin, commonly the face, neck, elbows, hands, and feet. Considered as an allergic response, it is often seen in people who have a predisposition to other allergies like asthma, hay fever, hives, etc.

The good news is that these have identified patterns, and there are things that can be easily done which can prevent flare-ups.

Reduce soap: Soaps are known to dry the skin up and irritate the skin, so eczema flare-up is common in those who love to lather themselves up. If possible, switch to soap or body wash that contains moisturizer as reduce the bacterial load on the skin. People who live in hot and humid locations, such as Mumbai it is important that they cleanse their face completely, else it can lead eczema eruption. 
Moisturize: Keep a moisturizer handy at all times. Eczema is common when the skin is dry, so keep applying moisturizer at regular intervals and keep eczema at bay. Make it a habit to apply moisturizer soon after the bath. The moist skin soaks it in nicely and provides maximum benefit when applied this way.
Avoid artificial fragrances: While deodorants and skin care creams which contain fragrances smell appealing, they also cause irritation and are harsh on the skin. This exacerbates eczema, and so avoiding these products is advised.
Know your trigger: This could be anything from a dishwasher liquid to a bath soap or a deodorant to some plant in your garden. Over a period of time, you will be able to identify the trigger, and avoid it so that eczema does not flare up. Remember, it is a type of allergy after all.
Detergents for washing clothes: Using milder detergents, especially for undergarments, greatly helps. Also, wash these twice to get rid of all the soap. Avoid fabric softeners as they are fragrant and can cause irritation.
Avoid hot baths: While a hot bath at the end of a long day sounds very relaxing, it also leaves your skin dry. This can worsen the condition of eczema. Add to this the irritation from your bedspread and pillow covers. Unless you have the habit of applying copious amounts of moisturizer before going to sleep.
Cover up your hands and face: When possible, use gloves and a mask especially when washing dishes and using laundry detergents. This way, you can prevent dryness and irritation of the skin on the hands and prevent eczema.
Soak it in the tub: When you stay for about 20 minutes in a tub (no hot water though, but lukewarm), the skin absorbs moisture which prevents it from drying. This greatly helps prevent eczema.
Cut down stress: Like any allergy, eczema acts up when stressed, so manage it. There is no point stressing anyways!

Eczema - How To Prevent Its Flare-ups?

Home remedies for skin allergies 

Skin allergies are often indicated by redness, scaly, itchy, chapped or bumpy skin. These may occur due to a variety of factors. Usually, when an allergen or a foreign element comes in contact with skin, it triggers an immune system response leading to an allergic skin condition. Other factors may include climatic changes like heat and cold, infections, cosmetics, specific foods or even medications resulting in skin allergies. Often, mild skin allergies do not sustain for long even if these are not treated. However, to get relief from the pain and added discomfort caused by these skin allergies, these home remedies are a lot easier and safe bet.

Cool down the itch

Use typical ice packs or cold running water over the infected part to treat itching. Using a cold water cloth over infected area relieves from suffering. Do not try using hot water as it relaxes in the beginning but makes the condition worse later.

Scare the scar

Aloe vera is the best bet in almost all skin ailments due to its remarkable anti-bacterial, anti-inflammatory and anti-fungal properties. Regular oral intake of 2-4 teaspoons of aloe vera gel or the application of its pulp on areas of dark spots or scars eradicates scars and rashes from the face and other skin areas.

Act on acne with apple cider

The best option to treat the most irritating yet much prevalent skin ailment is apple cider vinegar. Add one part of apple cider vinegar to three parts of water. Mix it well. Use cotton balls to apply this solution on acne directly and leave it for 10-15 minutes. Then rinse with water. Apply this three times a day to seek optimum results.

Coconut oil sways away eczema

First, wash your hands with utmost care. Then, pat them dry. Use your fingers to slowly rub coconut oil on the affected area. Leave it for some time to get it dry. Use it as many times as you want to get the benefits. Actually, application of this oil on the affected portion is recommended for a longer duration for best results.

Bye-bye to rashes with baking soda

Baking soda is to be applied on the rashes directly. Then, to get better results, press the skin softly and see the rashes disappear soon.

If you would like to consult with me privately, please click on 'Consult'.


Quickie Home Remedies for Skin Allergies

Gallstones can be the cause behind quite some pain and discomfort if not treated by an Ayurvedic medical expert. This helps you get over the ailment before it can inflict any more pain. Before learning about the treatments for the condition, it is important to learn what exactly is a gallstone? A gallstone as the name suggests is a peculiar stone-like formation found in the gall bladder. The stones vary in size and number from person to person and are mainly constituted from bile components that settle inside gallbladder. Gallstones as mentioned above are only stone-like formations and not really stones. They are formed from the cholesterol, bilirubin and salt contained in the bile.

How are gallstones diagnosed?
In the majority of cases, it becomes impossible to detect whether a person has gallstones or not. It is only when the stones close or block a specific duct and become the cause for inflicting some pain, does the chance of the presence of a gallstone crosses the mind. In case one is undergoing similar pain in the stomach, it is advised that you make your way immediately to an Ayurvedic medical expert, who will help you to recover from the condition with 100% natural medicines and treatments, with no side effects whatsoever.

Different types of Gallstones:
Another thing to be noted, before you start treatment for gallstones, is their type. There are distinctly two different types of gall stones. These are-

Pigment Stones: Pigments stones are smaller in size compared to the cholesterol stones and are usually larger in number and darker in colour. The main building component of these pigment stones is bilirubin. The bilirubin, in turn, comes from the bile, which is an enzyme secreted by the liver and carried into the gallbladder to be stored there.
Cholesterol Stones: The Cholesterol stones, on the other hand, are the most common kind of gallstone there is. 80% of the times, patients are detected to have cholesterol stones. These stones are characterised with a yellowish green colour.
Causes leading to Gallstone:
Only when gallstones reach a particular size or an overwhelming number that they start blocking ducts, which in turn cause the pain. But what results in the formation of these gallstones? There are a number of things that can lead to the formation of these stone like formations in your gallbladder. Some of these reasons include-

Increase in weight
A non-efficiently functioning gallbladder
Following a wrong diet
Over consumption of cholesterol rich food
Genes, and most commonly
Bile
While these are the common causes for bile stones, the most common causes of pigment stones are certain kinds of medical conditions, such as- sickle cell anaemia or other blood diseases and cirrhosis of the liver.

Ayurvedic cures for Gallstones:
According to Ayurveda, there are three doshas, namely the Kapha, pitta, and Vata, which lead to the formation of gallstones. Opting for Ayurvedic treatment helps you eliminate the requirement of harsh allopathic medication or for that matter surgery. The three major point covered by Ayurvedic treatment for gallstones include- modification in diet, herbal and all natural Ayurvedic medication and detoxification.

Ayurvedic gallstone treatment includes detoxification, herbal medications and diet modifications. A common therapy is a liver flush, which can include olive oil, lemon juice and spices. Citrus fruits, vitamin C, tumeric and ginger may assist with reducing cholesterol in the gallbladder to prevent its buildup. You can also place a castor oil pack over the gallbladder area to purportedly alleviate pain and inflammation, improve circulation and promote healing of damaged tissues.

Naturopathic Treatment for Gallstones:
Gallstone treatment requires altering carbohyderate and lipid metabolism of the entire body, especially of the liver. This will mostly involve changing the foods you eat, as well as adding specific supplements to encourage particular biochemical paths in the body. The details of this process consist of three major categories of actions.

Normalize bile composition leaving the liver
Dissolve existing gallstones in the gallbladder
Prevent the reabsorption of bile and cholesterol in the small intestine
Naturopathic treatment will start with a high-quality nutrition program made to reduce your body's tendency to produce excess cholesterol. It will also use a variety of nutritional supplements to break up fat deposits in the liver. Still other agents, both herbs and supplements, can dissolve existing gallstones. The exact details will vary from one individual to another depending on your medical history. As always in Naturopathic Medicine, the treatment program is customized to you and your individual situation. 

Gallstones - Know The Different Types!

The gallbladder is a small organ in the abdomen that rarely gets any attention. When it does draw attention to itself, it is usually not for the right reasons. People think of their gallbladder only when they start feeling abdominal pain associated with gallstones. Gallstones aren t stones like we see in river beds but crystallized deposits of digestive fluids. They can be as small a grain of sand or as large as a golf ball. Stones can occur singularly or many stones may develop simultaneously. It can cause pain in the center or upper right part of the abdomen. Though the pain may be bad, it is not a reason to worry as homeopathy has a number of ways to treat this condition.

Homeopathy is a holistic form of healing that addresses the patient as a whole instead of merely looking at the symptoms exhibited. In this way, it attacks the root cause of the problem. Homeopathic remedies may be given to infants, children and adults of all ages. One of the many benefits of this form of medication is that it has negligible side effects. However, self-medication is not advisable. This is because a remedy that suits one person may not be as effective for another. When prescribing homeopathic remedies, a doctor will look into the patient s medical history, family history, overall physical and mental health, as well as the symptoms, were seen. Thus, homeopathy does not follow a one size fits all approach. For example, an obese person will require a specific type of homeopathic medicine. At the same time, a patient complaining of acidity and a bloated abdomen will require a completely different remedy.

There are many different types of homeopathic remedies. These can be prescribed in the form of sugar-coated pills or liquids. In some cases, powders may also be prescribed. Homeopathic medicines may be prescribed singularly or in a combination of two to three medicines. The main aim of these homeopathic remedies is to reduce the size of the gallstone so that it can pass through the digestive system and be expelled from the body. It also helps relieve pain and reduce flatulence associated with gallstones.

When it comes to homeopathic remedies, one must not expect an immediate solution. It is important to be patient and to take your medication regularly for it to be effective. It is also important not to eat or drink anything half an hour before or after taking the medicines. 

Treating Gallstones With Homeopathic Approach!

Eczema is a skin condition marked by eruptions that are often pus filled boils and can be of many kinds. One of the kinds of eczema is also known as Atopic Dermatitis. Before treating Atopic Eczema it is always good to take an opinion of a Dermatologist, as the skin of Atopic patients is sensitive and not all home remedies may suit everyone. It is known to aggravate during cold and biting months of winter and can lead to dryness and scaly patches. It is commonly found in patients who are young children and babies. The flare up can also relapse again. Reddish brown patches and oozing boils characterize this skin ailment. It is mostly found on the face, scalp, knees and elbows.

Let us look at the natural ways in which it can be treated effectively:



Oil Massages: Atopic Eczema is usually characterized by severe dryness, which can be fixed with the help of coconut oil and olive oil massages. Sunflower seed oil and others like camomile, chickweed, licorice and thyme can help in bringing down the inflammation by soothing the area and removing the dryness to a great extent. These oils also have antibacterial properties which can help in treating the eczema in an efficient manner. Further, green tea, primrose oil, aromatherapy and other such methods can also be used to soothe the skin and treat the condition.
Probiotics and other Essentials: It is important to get a good dose of Omega-3 oils as well as other essentials like probiotics and flavonoids that are contained in food like green and leafy vegetables, dairy products, fish and others. These elements can help in treating Atopic Eczema in a natural manner.
Vitamins: Eating the right food can help in removing painful symptoms to a great degree. One can turn to the best vitamin d supplement that will supply precious Vitamin D to the body and help the skin become clear. Vitamin D can also be found in green vegetables, fish and dry fruits like figs and almonds.
Lifestyle Changes: There are other ways of treating this condition. One of the methods includes making lifestyle changes like using deep breathing and meditative techniques that can bring the stress level down so that the flare up does not happen and the immune system continues to function properly. Also, patients would be advised to use a cold compress every night as this is when the itching increases by leaps and bounds. The use of oat meal baths with baking soda can also help.
Aloe Vera Gel: The soothing and healing properties of Aloe Vera are well known. One can use the gel of this herb to bring down the painful inflammation as well.
Healthy drinks: Green tea usage can be found efficient in treating eczema, according to many pieces of research. Apart from consuming green tea, there are many other healthy drinks which you must consume if you are suffering from eczema.
There are various ways to deal with Atopic Eczema and hygiene is one of the top methods along with a good lifestyle.

The Best Natural Remedy for Eczema

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