Losing weight is a common concern faced by all and inspite of taking so many measures , people face issues in maintaining consistency . There are certain internal factors in human body which influence the ratio in which weight can be reduced. The idea is to trick your body and weight loss has to be done on a step by step basis and a relaxed manner.read more
Thanks for joining me again on lybrate And I hope my previous videos are very helpful to you for understanding your disease and for personal education about your physical fitness. Today, I’m going to touch a very taboo topic, a topic which is always discussed under wraps the topic of diabetes and impotence. Impotence is not about sterility. Sterility and impotence are two different things, impotence is the inability of a partner to satisfy its partner on sexual basic, sterility is the difficulty in the ability to have production, reproduction and that is a very important topic that I’m going to discuss today diabetes and impotence. Well, a lot of my patients of diabetes always have a query that doctor, how is diabetes going to affect my sex life, well my answer to you is yes diabetes is going to affect your sex life is not one but many ways. first of all diabetes in itself is a problem that leads to nerve dysfunction and in spite of getting stimulated some people in diabetes in later stages who got diabetes uncontrolled for very long, they start to develop a problem by the name of erectile dysfunction.
Erectile dysfunction is a problem in which after maximal stimulation a man is not able to have a proper erection and this problem actually comes up out of the nervous system problems that happen because of the uncontrolled blood sugar level well, don’t get me wrong I don’t want to imply here that only diabetes is the reason because of people develop erectile dysfunction but diabetes is a very important reason because of which people develop erectile dysfunction. The second problem that people with diabetes may develop because they can have an effect on their sex life is about premature ejaculation.
Premature ejaculation is the lack of stamina in continuing the sexual act and the culmination of the sexual act by ejaculation which is premature and this means that a patient is not able to have a sexual satisfaction with his partner and neither does the partner achieve complete satisfaction because the male partner has ejaculated and there is no further stamina left for the continuation of the sexual act. I don’t understand that these people who have these problems of erectile dysfunction and premature ejaculation they are more concerned about the sexual factor affecting them rather than diabetes that is affecting them but they have to understand that the core problem is the uncontrolled blood sugar, if they are able to control their blood sugar then probably they will be able have the cure and a solution to both these problems. Also, the second thing that is very baffling to me is the fact that most of the people who are suffering from these kind of sexual problems they go to quacks and people who are unqualified to the solution of their problems. well, I believe that if you confy in your doctor and go to a doctor who is qualified to handle this problem then probably you will get a better solution and a better cure of your problem rather than going to somebody who is going to provide you obscure desi medicine who doesn’t even have the qualification to cure it and in spite of that the people are streaming to these unqualified people rather than the doctor who may provide them the scientific solution to their problem ,having said that I will also like to recommend you that you can also make use of the online consults that are available on lybrate which will help you at least get a customize solution to your problem without having to go to people who are going to mess up your life because they don’t themselves know that what they are going to give as a medicine to you so don’t go to those people who are not qualified that’s my humble submission to you and I believe you will enjoy a very healthy life ahead of you and try to understand that it is actually the control of blood sugar that is paramount in the control of your sex life thank you very much and thanks for joining it.read more
Welcome back joining me on Lybrate once again, and today I am going to discuss about a very important topic for which I have received so many queries that I decided I am going to make a video on this topic and this very important and significant that is afflicting a lot of people in our society is thyroid and pregnancy. Well lot of women, who are suffering from thyroid in any form with a hypothyroidism or hyperthyroidism and lot of these women are in the child bearing age so it is not surprising that these women they develop conception during the time that they have got hypothyroidism or hyperthyroidism or for matter of fact they are discovered to be a patient of hypo or hyperthyroidism during the time that they can ecologist for the first time asks them to get thyroids checked well thyroid is a very important endocrine organ in our body which regulates a lot of functions of our body and at the same point of time the thyroid harmones are very important harmones for the development of child and the most importan phase of that period for that development is the first trimester of pregnancy which is the first 12 weeks that the women are pregnant because this is the period of time of the first trimester when the maximum organ formation develops. In fact the entire organ development of the child, it develops in the first trimester of pregnancy and it is only natural that we have to understand that if the thyroid is not controlled during that period then the child might have left many congenital malformations may be having a lot of mental disturbances when the child is born. So it is very important for you to understand that if you want your child to be healthy mentally as well as physically you have to keep the thyroid under control.
I also would like to mention a very important fact that the levels at which the TSH is monitored during the pregnancy are different from the levels during which it is monitored the non-pregnancy state, in fact, a very strict control of thyroid is necessary during the time of pregnancy and if that is not maintained then not only congenital malformation but there could be also imminent fetal loss which can happen at any of the trimesters of pregnancy. In fact, conception it self-becomes a problem when the thyroid is not under control. And today we are into an era that a lot of females they are developing this problem, are facing this problem that they are not able to conceive in time and are very disturbed and agitated and their families are really frustrated because they are not able to conceive. Well that matter of fact, you need to check your thyroid and keep it under control. French thyroid can be controlled only by one pill in a day and needs to be monitored only. Initially on 21 day basis so at every three weeks you need to get you thyroids levels checked and if they are not under control there has to be a fluctuation of the thyroid hormones in the body and that is why we have to upgrade you medicine or downgrade the dose of your medicine and that the only things we doctors do to keep your thyroids under control. Because essentially what we are doing with your thyroid is that we are providing supplementation of the deficient hormones in the body or we are making the thyroid get itself under by giving it a pill by which it doesn’t hyperfunction in cases of hyperthyroidism so only by one medicine by a day therapy you can do wonders with your body and you can save the life of your unborn child and give them a healthy and very nice physical fitness when they are born. So please keep your thyroids under control. And remember that thyroid is not a frivolous thing especially during the time of pregnancy. I hope this video enlightens you and you can get back to me on Lybrate through a very important channel of online consults which has been offered by Lybrate. You don’t have to be physically present with me and you can take my advise simply logging into Lybrate and finding out the name of Dr Hanish Guptaread more
Symptoms and Tests to Diagnose Diabetes
Hello friends. Mai Dr. Hanish Gupta hun jo ki diabetes se sambandhit kuch information aaj aap log k saath share karne aaya hun. Mai Delhi sheher mein practice karta hun aur Lybrate ka aabhari hun ki Lybrate mujhe ye awasar de raha hai ki mai aap ke saath diabetes k uplaksh mein kuch baate discuss kar sakta hun. Sab se zyada bechida sawaal jo mai logon se sunta hu jo vastavik mein ek simple sawaal hai wo ye hai k kya diabetes mujhe hai bhi ya nahi. Har insaan janna chahta hai k diabetes ya mudhume jaisi bimaari usey grasth kar rahi hai ya nahi. Well iska jawab aap ek simple blood test k dwara kisi bhi laboratory mein test karwa paa sakte hai. Agar aap ki fasting blood sugar 126 se zyada hai wo bhi 2 awsaro par na ki ek awsar par to aap ko diabetes ka mareez ghosith kiya jayega.
Aur isi uplaksh mein ek aur, isi samdhar mein ek aur test hota hai jo ki hai glycocelated Haemoglobin jise aasan bhasa mein HB-A1C test kaha jaata hai. Is test dwara aap ke 3 mahine k blood sugar ki ausaad pata lagayi ja sakti hai. Is test ka humein result percentage mein milta hai. Agar ye test 6.4% se zyada kisi bhi mareez mein paya jaata hai to use bhi diabetes ka mareez ghosith kia jaa sakta hai. Dosto diabetes itni bhi bechida bemari nahi hai jitna isko banaya jaata hai. Diabetes ko pata lagane k liye kewal ye 2 test mehetwapoorna bhi hai aur purna taur pe poore bhi hai jiske dwara aap diabetes k baare mein pata bhi laga sakte hai. Kuch aisi baate aur bhi hai jo mai aap ke saath discuss karna chahta hun.
Well, agar aap ke parivar me koi aisa sadasya hai jise diabetes hai ya aap ki umar 40yrs se zyada ho chuki hai ya aap ko sudden unexplained weight loss hai ya aap wazan me zyada hai ya aisa hai ki kuch dino se aap ko kuch zarurat se zyada bhukh lagne lagi hai ya zarurat se zyada peshaab aane lag gay ahai to aap ko diabetes ka test karana aniwarya hai. To dosto in vishesh baaton ka agar aap dhyaan rakhege to aapno ko aur aapne parijano ko diabetes jaisi bimaari se bacha sakte hai. Mere se sampark karne k liye aap kabhi bhi Delhi me mere clinic ka address Librate dwara paa sakte hai. Dhanyawad. Hello friends. Mai Dr. Hanish Gupta hun jo ki diabetes se sambandhit kuch information aaj aap log k saath share karne aaya hun.
Mai Delhi sheher mein practice karta hun aur Librate ka aabhari hun ki Librate mujhe ye awasar de raha hai ki mai aap ke saath diabetes k uplaksh mein kuch baate discuss kar sakta hun. Sab se zyada bechida sawaal jo mai logon se sunta hu jo vastavik mein ek simple sawaal hai wo ye hai k kya diabetes mujhe hai bhi ya nahi. Har insaan janna chahta hai k diabetes ya mudhume jaisi bimaari usey grasth kar rahi hai ya nahi. Well iska jawab aap ek simple blood test k dwara kisi bhi laboratory mein test karwa paa sakte hai. Agar aap ki fasting blood sugar 126 se zyada hai wo bhi 2 awsaro par na ki ek awsar par to aap ko diabetes ka mareez ghosith kiya jayega. Aur isi uplaksh mein ek aur, isi samdhar mein ek aur test hota hai jo ki hai glycocelated Haemoglobin jise aasan bhasa mein HB-A1C test kaha jaata hai. Is test dwara aap ke 3 mahine k blood sugar ki ausaad pata lagayi ja sakti hai. Is test ka humein result percentage mein milta hai. Agar ye test 6.4% se zyada kisi bhi mareez mein paya jaata hai to use bhi diabetes ka mareez ghosith kia jaa sakta hai.
Dosto diabetes itni bhi bechida bemari nahi hai jitna isko banaya jaata hai. Diabetes ko pata lagane k liye kewal ye 2 test mehetwapoorna bhi hai aur purna taur pe poore bhi hai jiske dwara aap diabetes k baare mein pata bhi laga sakte hai. Kuch aisi baate aur bhi hai jo mai aap ke saath discuss karna chahta hun. Well, agar aap ke parivar me koi aisa sadasya hai jise diabetes hai ya aap ki umar 40yrs se zyada ho chuki hai ya aap ko sudden unexplained weight loss hai ya aap wazan me zyada hai ya aisa hai ki kuch dino se aap ko kuch zarurat se zyada bhukh lagne lagi hai ya zarurat se zyada peshaab aane lag gay ahai to aap ko diabetes ka test karana aniwarya hai.
To dosto in vishesh baaton ka agar aap dhyaan rakhege to aapno ko aur aapne parijano ko diabetes jaisi bimaari se bacha sakte hai. Mere se sampark karne k liye aap kabhi bhi Delhi me mere clinic ka address Librate dwara paa sakte hai. Dhanyawad.read more
Tests which confirm about Diabetes and its Symptoms
Hello friends main doctor Hanish Gupta hu, diabetes related kuch information mein aaj aaplogo ke sath share karne aaya hu. Main Delhi sahar mein practice karta hu aur Lybrate ka abhari hu ki Lybrate mujhe yeh avsar de raha hai ki main apke sath diabetes ke upalaksh mein kuch batey discuss kar saku. Sabse zyada pechida sawal jo main logo se sunta hu jo ki vastavik roop mein ek simple sawal hai who yeh hai ki kya diabetes mujhe hai bhi yah nahin?
Har insaan janna chahta hai ki diabetes yah madhumeh jaisi bimari ussey grasth kar rahi hai yah nahin? Well iska jawab aap ek simple blood test dwara kahi bhi kisi bhi laboratory mein test kara ke paa sakte hai. Agar apka fasting blood sugar 126 se zyada hai who bhi do avsaro par naki ek avsar par toh apko diabetes ka mareez ghoshit kiya jayega. Isi upalaksh mein ek aur test hota hai jo ki hai glycosylated haemoglobin jissey asaan bhasha mein hba1c ka test kaha jata hai. Is test dwara apke teen mahine ki blood sugar ki ausat pata lagayi jaa sakti hai. Iss test ka humein result percentage mein milta hai. Agar yeh test 6.4% se zyada kisi bhi mariz mein paya jaa raha hai toh ussey bhi diabetes ka mareez ghoshit kiya jaa sakta hai.
Dosto diabetes itni pechida bimari nahin hai jisko bana diya jata hai. Diabetes ko pata lagan ke liye keval yeh do test mahetwapurn bhi hai aur purn taur pe purey bhi hai jiske dwara aap diabetes ke barey mein pata laga sakte hai. Kuch aisi baatey aur bhi hain jo main apke sath discuss karna chahta hu jaise diabetes ke lakshan kya hai. Well agar apke parivar mein koi aisa sadasya hai jissey diabetes hai yah apke upar 40 saal se zyada ho chuki hai yah apko sudden unexplained weight loss hai yah aap wazan mein zyada hai yah aisa hai ki kuch dino se apko zarurat se zyada bhook lagne lagi hai yah zarurat se zyada peshaab aney lag gaya hai toh apko diabetes ke test karwana anivarya hai.
Toh dosto in vishesh baton ka agar aap dhyaan rakhengey toh aap apno ko aur apne parijano ko diabetes jaisi bimari se bacha sakte hai. Mere se sampark karne ke liye aap kabhi v Delhi mein mere clinic ka address Lybrate dwara paa sakte hai. Dhanyabaad!read more
How alcohol affects liver and metabolism?
Hello, friends, my name is Dr. Hanish Gupta. I am a General Physician working in Delhi at various major hospitals and having my own clinic by the name of Life Aid in Mayur Vihar Phase one. Today, I have come to discuss with you very important topic of the bad effects of alcohol on our liver.
We all know that liver is the primary organ in the body that deals with metabolism and metabolism is the process by which we digest food, we assimilate it in our body and also eliminate the toxins that come with it. Fortunately for us liver is the organ that takes care of all these toxins. All the bad things that collect in our body because of our bad eating habits or drinking habits, the liver is the organ that helps us eliminate those toxins and keeps us healthy. Alcohol is one such toxin.
We may have a good time with alcohol drinking with our friends whether socially or by our own conception but at the end of the day alcohol is and will remain a very important toxin in the body that needs to be eliminated. Liver is the organ that does that. Unfortunately some people they don't realize the delicate balance of alcohol and liver if we take alcohol in moderation then liver gets the ample time to eliminate it from the body and metabolize it but if we keep on taking it regularly and in very high amount then liver becomes overburdened in eliminating. This toxin out of the body what happens is that liver starts to store the excess alcohol because it does not have enough time or power to eliminate. It is the excess alcohol that starts to get collected in the liver cells and because of this excess accumulation of alcohol in the liver cells they start to bloat up and the first stage of liver damage begins.
At this stage if a person who has started to become dependent on alcohol stops taking alcohol then all the bad effects of alcohol they get reversed as far as the liver mousse but if unfortunately somebody continues to take alcohol despite the good advice of his doctor then liver starts to undergo permanent damage and may become shrunken in a very short span of time. This is the problem with liver once it starts shrinking the permanent damage has already been done which is known cirrhosis of liver which is actually an irreversible damage to the live.
So friends my nice advice to you is that you want to take alcohol always remember the delicate balance between alcohol intake and your liver metabolism. If you go by this principle then you will have a very healthy life which is going to be too thanks for listening in. I hope that you connect with me again on liberate online consults or have the sweet opportunity of visiting my clinic at Delhi. Thank you very much.read more
Hello friends welcome back to Lybrate I am Dr Hanish Gupta and today I will be talking about diabetes and kidney diseases. Friends all over the world a large number of patients are started to have dialysis, a large number of patients are undergoing kidney failure. This hasn't happened suddenly but has happened because of 2 common causes known as diabetes and blood pressure. Diabetes forms the biggest cause of Kidney failure and kidney diseases and today for any stage of kidney illness diabetes is the number one cause for the people of USA. India is also fast approaching that scenario.
People believe that in diabetes when they get their kidney function test done and it comes out to be normal they think everything is fine which isn't the case. Kidney starts the sign of deterioration with diabetes very early on and it is very important for the Dr to detect if there is any kidney issue or not. The test required here is the urine test. In very early stage of diabetes there is microalbuminuria in urine which is the passage of protein from the body in very small amount, that is the result stage of kidney failure. That is also the right time to save further complications of kidney infection.
People keep in getting their kidney function test and believe their kidney is fine on the basis of that. But it is actually the urine ACR done by standardized methods in laboratories that gives the right diagnosis. The important thing is that not only test but also the signs and symptoms that tell us about the kidney condition. People believe that it is the amount of urine passage that decides this factor but the most important sign is swelling over the body. Simple signs like loss of appetite can also detail about kidney failure.When kidney has started deteriorating patient observed a tremendous amount of relief in sugar control, thus patient believes that diabetes condition is improving but that is not the case it is actually kidney deterioration that brings down the sugar level. The reason for this is that insulin is eliminated from the kidney and when kidney is undergoing deterioration the time period for which insulin remains in the body increases which is called as increase in the half life of insulin. So with that points keep your kidneys healthy and keep diabetes under control.
You can visit my clinic or contact me through Lybrate.read more
Knowing thyroid problems
Hello everyone! My name is Dr. Hanish Gupta and I’m here today to discuss with you the important effects of thyroid gland on human body.
We have appropriately titled this video as three minute thyroid consult because I’m going to explain you within three minutes that what is thyroid gland and how it affects the human body.
Thyroid gland is a butterfly shaped gland which is located in front of your windpipe just like this. This is the thyroid gland. Thyroid gland despite its small size is a very very important gland for the human body because it controls the growth and the energy processes of the human body that is why the effect of this hormone has a far reaching effect on the entire functioning of the human body.
Now I will talk about the excess and the deficiency of this hormone in the human body which needs two conditions called hypothyroidism when there is a deficiency of this hormone in the body and hyperthyroidism when there is an excess of this hormone in the human body. The most common condition of hypothyroidism or deficiency of this hormone in the human body is hashimoto thyroiditis in which the thyroid gland looks like this. This is a condition in which all the energy processes of the human body, they become slower. There is weight gain, there is slowness of the heart rate or bradycardia there is swelling of the human body, there is hair fall, there is infertility or menstrual problems in females, there is depression, and most importantly all these things they collect together and become a very big problem for the patient.
However, the help is nearby because this condition can be treated with taking only one pill on daily basis. Similarly, a condition in which there is an excess of this hormone in the human body is known as hyperthyroidism and the most common cause of hyperthyroidism is Grave’s disease in which the thyroid gland looks like this. This is a condition in which all the energy processes of the human body, they become fast, there is faster heart rate, there is tremors or tremulousness, there is irritability of mood, there is weight loss, there is lot of other things that indicate that the patient is having faster energy but of no use because he’s having this condition for a long time and this condition can also be treated by taking only one pill, which can even be stopped later in life.
So, friends I hope that I have been able to dispel your doubts about thyroid hormone and I believe that you would love to come back to me on Lybrate for an online opinion or at my clinic at life aid clinic located in Delhi.
Thanks for watching and keep healthy!
Hello everyone, my name is Dr. Hanish Gupta. I’m a specialist in internal medicine and mainly an expert in diabetes and cardio vascular diseases. Today I’m here with you to discuss a very important symptom of Chest pains.
It is a very worrisome symptom for any patient. It is very frustrating for the family members because they believe that every chest pain could be a hall mark of a heart attack. But my friends, this is not the case every single time. Chest pain is a pathogenic symptom of heart attack but all heart attacks do not necessarily come with chest pains and vice versa. It is most importantly found in patients of gastric diseases like Peptic Ulcer disease by which a patient suffering from hyper acidity would also come to his doctor with the same complaint. So if your chest pain is related to food, meals or associated with feelings of vomiting like nausea then definitely this could be related to the gastro-intestinal diseases. Moreover some patients come to us and say that they have a pin point chest pain which can be pointed at any part of the chest specially if they are pressing on that part and fuelling that same act of pain, then perhaps there is a muscular-skeletal chest pain which deals with muscles and the rib cage other than the heart itself.
Having said that, chest pain which is related to the Heart attack is almost always related to breathlessness. Nobody ever had a heart attack without having breathlessness. So this is a very important symptom to be noted in the patient that if he is having breathlessness associated with chest pains then it is a definite symptom which is going towards a ‘red flag’ sign of heart attack. Moreover I’d like to point out here that some of the patients of diabetes can present to us without having chest pain and just presenting to us with breathlessness. This is primarily so that just like there is a feeling of numbness in the limbs of a diabetic patient. Similarly there is a numbness id the muscles and nerves around the rib cage due to which this patient may have a silent heart attack which presents only with breathlessness and chest pain. That is why in patients of diabetes only breathlessness itself is a hall mark of heart attack.
If a person has chest pain which is related specially to activity, example: climbing up the stairs, walking, jogging, swimming or running or any kind of strenuous activity and that is the time when the pain but goes away when the patient is resting. This kind of a chest pain could be related to the ischemic heart diseases or the coronary artery disease that leads to heart attack in future.read more
Doctor in LifeAID Clinic - Bhajanpura
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Pre And Post Delivery Care
Sperm Donor Program
Adult Diabetes Treatment
Type 1 Diabetes Treatment
Submit a review for LifeAID Clinic - BhajanpuraYour feedback matters!
Patient Review Highlights
Best doctor for all ills. Good experience
Sugar is the generic name that represents sweet-tasting, soluble carbohydrates, many of which are used in food.
What Happens When Concentrated Sugar Enters the Body?
Sugar is a poison when concentrated because it causes swelling of joints, liver, and brain. Sugar will hamper the healing of your body if you have an injury or chronic illness. Sugar acts as a source of energy for cancer cells and all infectious diseases. Sugar blocks the absorption of the nutrients you are eating, especially all of your minerals.
Harmful Effects of Sugar on the Body
- It is a true silent killer: A study in 2008 linked excess fructose consumption to an increase in leptin resistance. Leptin is a hormone that tells you when you have had enough food. For some people, leptin simply does not work, leaving the person with no signal whatsoever that the body had enough food leading to over-consumption of food and consequently, obesity. As all this happens without symptoms or warning bells and you can’t quite figure out why you’ve gained weight in the past year “sugar” is labeled as SILENT KILLER.
- It can damage your heart: In 2013, the Journal of the American Heart Association displayed strong evidence that sugar can actually affect the pumping mechanism of your heart and could increase the risk for heart failure. A molecule from a sugar called glucose metabolite glucose 6-phosphate (G6P) is responsible for the changes in the muscle protein of the heart leading to heart failure.
- It promotes belly fat: Excess fructose intake (but not glucose intake) actually causes visceral fat cells to mature leading to a big belly and higher risk for heart disease and diabetes.
- It has toxic liver effects on the body: Fructose and glucose in excess can have a toxic effect on the liver as the metabolism of ethanol, the alcohol contained in alcoholic beverages, has similarities to the metabolic pathways like fructose.
- It saps brain power: Study shows that excess sugar consumption was linked to deficiencies in memory and overall cognitive health.
- Your brain lights up with sugar just like it does with heroin or cocaine. Sugar is eight times more addictive than cocaine.
- Sugar has empty calories meaning you can consume a lot of it and feel full, but receive no nutritional value.
- It is certainly one of the leading causes of early death and chronic illnesses, including diabetes, obesity, and heart disease.
- Food companies try to hide sugars in their food by using other forms of sugar. This leads to addiction of their products (e.g. high-fructose corn syrup).
- Sugar in itself offers absolutely no nutritional value what so ever to the body. It is often coined with the term empty calories.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Pre-diabetes is a stage where one should be alert in case blood sugar is between 110-126 at the time of fasting and measures have to be taken to take precautions to avoid diabetes in future. Lifestyle changes and exercises can be taken into consideration to avoid further risks.
Losing weight is a common concern faced by all and inspite of taking so many measures , people face issues in maintaining consistency . There are certain internal factors in human body which influence the ratio in which weight can be reduced. The idea is to trick your body and weight loss has to be done on a step by step basis and a relaxed manner.
In year 2014 diagnosed with hyperthyroidism (20.5) and was put on Thyroxine 50, which resulted in decrease upto 4.95, then again inflation and continuously raised upto 11.6. Presently off thyroid since May'2017.
1. Drinking water or beverages from plastic bottles inserts pthalates (which is additive to plastic to make it hard but flexible) into human body. What can be done. 2. How many tablets of STEVIA can be safely taken by those with mild Type II diabetes.
What is Thyroxine?
Thyroxine, also known as T4, is the main hormone which is secreted by the thyroid gland into the bloodstream. Although it is an inactive form, most of it is converted to an active form called triiodothyronine by organs such as the liver and kidneys. The hypothalamus in the brain along with the pituitary and thyroid glands modulate the production and release of thyroid hormones.
What Happens If You Have Too Little Thyroxine?
If the level of thyroxine in the blood is low, then the pituitary gland releases more thyroid-stimulating hormone (TSH) to try and stimulate the thyroid gland to make more thyroxine. Therefore, a raised level of TSH means the thyroid gland is underactive and is not making enough thyroxine. When the thyroid gland produces very little quantity of thyroxine, then the condition is known as hypothyroidism.
As thyroid hormones are essential for physical and mental development, so hypothyroidism during development or before birth and during childhood causes mental impairment and reduced physical growth.
Symptoms usually show a slow and gradual progression before they become worse over months or years as the level of thyroxine in the body gradually falls.
In adults it causes a decrease in metabolic rate resulting in symptoms that include:
- Intolerance of cold temperature
- Low heart rate
- Weight gain
- Reduced appetite
- Poor memory
- Stiffness of the muscles
- Slow movements and thoughts
- Muscle aches, cramps, and weakness
- Dry skin
Less Common Symptoms include:
- Hoarse voice
- Irregular or heavy menstrual periods in women
- Loss of sex drive
- Carpal tunnel syndrome (which causes pains and numbness in the hand)
- Memory loss or confusion in the elderly
- Autoimmune diseases: The immune system makes antibodies against your body cells
- Poor iodine intake
- Use of certain drugs like amiodarone and lithium
- Surgical removal or injury to thyroid gland
- Underactive thyroid gland (congenital hypothyroidism)
- Low thyroxine level causes the blood fats (lipids) - cholesterol etc., to rise
- Pregnant females have an increased risk of developing some pregnancy complications like:
- Pre-eclampsia (high blood pressure and protein in urine)
- Premature labor
- Low birth weight
- Serious bleeding after the birth
- Hypothyroid coma (myxedema coma) is a very rare complication
- Myxedema coma is a rare but life-threatening state of extreme hypothyroidism
Diagnosis and Investigations:
It involves a blood test which screens the levels of TSH and free T4 and T3. Usually, the reports show high TSH and T3 and T4 levels.
Treatment usually involves taking a daily tablet of thyroid hormone levothyroxine to replace the missing thyroxine. Treatment works very well for most people with hypothyroidism but is required for life.
What is Hormone Replacement Therapy?
Hormone replacement therapy is a treatment which is used to treat the symptoms that occur after menopause. As age advances, the ovaries of the female reproductive system produce fewer amounts of hormone, and because of this low level, women start showing various symptoms. Sometimes, these symptoms are so severe that they hamper activities of daily living. Thus, in order to lessen these symptoms, the hormones are administered in the form of oral medications.
The most common menopause symptoms are as follows:
- Hot flushes, night sweats
- Dry, wrinkled skin, and dry hair
- Mood swings
- Vaginal dryness, recurrent infection
- Reduced sex drive, pain during the sexual act
- Weakening of the bones
The decrease in estrogen hormone is responsible for this condition. Therefore, in hormone replacement therapy, the medications which contain estrogen are given. Hence, it is also known as estrogen replacement therapy. Some types of hormone replacement therapy contain both progesterone and estrogen, some contain only estrogen, and sometimes, testosterone is also used.
Ways of Administering Hormone Replacement Therapy
- Estrogen pills: Most estrogen pills are taken once a day without food. In cyclical hormone replacement therapy, tablets are taken at the end of the menstrual cycle for 14 days, or a daily dose of estrogen and progesterone for 14 days for every 13 weeks. In continuous hormone replacement therapy, the patient takes a continuous combination of estrogen and progesterone.
- Estrogen patch: The patch is usually applied on the skin of the abdomen. Depending on the patient requirement, some patches are replaced every few days, while others can be worn for a week.
- Topical estrogen: It includes creams, gels, and sprays. In this type, estrogen is absorbed through the skin directly into the bloodstream.
- Vaginal estrogen: It comes in the form of a cream, vaginal ring, or vaginal estrogen tablets. It is usually given in females having symptoms of vaginal dryness, itching, etc.
Side-Effects of Hormone Replacement Therapy
- Bloating, indigestion
- Breast tenderness or swelling
- Swelling in other parts of the body
- Vaginal bleeding
Who Should Not Got For Hormone Replacement Therapy?
- Hormone replacement therapy is contraindicated in following diseases as it can worsen the condition of the patient:
- Uncontrolled blood pressure
- Severe migraines
- Blood clotting disorders
- Heart disease
- Endometrial, ovarian, or breast cancer
Lifestyle Modifications along with Hormone Replacement Therapy to Relieve Symptoms of Menopause
Following lifestyle modifications can be used along with hormone replacement therapy to relieve symptoms of menopause:
- Reduce consumption of caffeine, alcohol, spicy, and deep-fried food
- Stop smoking
- Perform regular exercise, yoga, and meditation
- Take proper sleep
- Use cooling gel pad, or pillows, or be in an air-conditioned rooms
In case you have a concern or query you can always consult an expert & get answers to your questions!