Causes, symptoms and diagnosis of Thyroid
Hello friends. I am Dr. Surekha Jain practicing as a gynecologist and obstetrician since last 40 years. I own my own hospital at Shalimar Bagh with the name of Jain Child and Maternity Hopsital Pvt. Ltd. I am also attached with the Fortis Hospital, Shalimar Bagh as a Senior Gynecologist and Obstetrician. Today, I am planning to tell you about Thyroid Diseases during Pregnancy. The reason for choosing this topic is that it is very common nowadays to find thyroid disease during pregnancy and the smallest variation in the thyroid organ can really affect your pregnancy. The thyroid disease is present in two forms: Hyperthyroidism and Hypothyroidism. Hyperthyroidism means over active thyroid and Hypothyroidism means which is under active thyroid.
Thyroid is an organ which is located in the front of your organ like a butterfly and it releases hormones which control metabolism of your body it controls even single cell of your body. Thyroid affects the whole body. During pregnancy, why we are worried about the thyroid disease that if you already know that you have hyperthyroidism or hypothyroidism at the very first consultation of your pregnancy, you should tell your obstetrician that you are either Hyperthyroid or hypothyroid and what drugs you are already taking. So that the doctor can help you adjust those medications. In case you do not know the status of your thyroid at very first visit the doctor will you investigations to be done and thyroid status is one of them.
Why is it so important to do early? Because the thyroid functions are more important in the first trimester of pregnancy to control the development of the baby. You very well know that during the very first three months of your pregnancy, the child being made, all the organs, all the systems are developed and after that the child only grows inside so the first three months are very crucial. And thyroid controls the activities in the mother and the baby. So, you should know the status of thyroid. Now, let us know what are the most important irregularities you can have in thyroid? Hyperthyroidism, even though it is rare, in early pregnancy signs and symptoms they quite mimic hyperthyroidism like excessive vomiting, nausea, irritability, giddiness and irregular heartbeat, even nervousness. So, these are very common in pregnancy as well as in hyperthyroidism.
So, if they are in a moderate amount, you can think of having these symptoms because of pregnancy. But, in case there is excessive, your doctor will definitely test you for hyperthyroid by doing certain blood tests and manage you accordingly on anti-thyroid drugs. The second most important is hypothyroidism. Hypothyroidism being more common than hyperthyroidism, therefore, it is very important to manage hypothyroidism in early pregnancy. In first, seven to nine weeks, the fetus doesn’t have any thyroid function in itself. So whatever it is getting it is from the mother. If the mother is deficient, the child will also become deficient and later on it can have multiple problems of nervous system, skeletal system, and developmental problems. Now, how do you diagnose the thyroid disease? It is very simple. Only by blood test you can diagnose thyroid. Three blood tests are there, TSH (Thyroid Stimulating Hormone), T3 and T4. These are the hormones which are released by thyroid and thyroid stimulating hormone is the controlling hormone which keeps adjusting itself according to the hormone. Only by test you can come to know whether you are youth thyroid that is normal thyroid or you are hypothyroid or hyperthyroid.
If thyroid is not controlled properly during pregnancy then there can be multiple things which can happen to the mother and the baby. Now, if it not controlled in the first trimester, then developmental problems can be there. Baby can have certain congenital birth defects but later on it can lead to prematurity, and high blood pressure. Now, how can you come to know you are suffering from symptoms only? Hyperthyroidism can lead to severe nausea, vomiting, and slight tremors in your body, trouble sleeping, weight loss, or low weight for pregnant women. How can you know about hypothyroidism? Symptoms of hypothyroidism are such as extreme tiredness, weight gain, confusion, constipation, concentration and memory problems.
So, once your doctor knows whether you are hypo or hyper, they will treat you accordingly. If you want to know more, you can contact me through Lybrate, Dr. Surekha Jain. I am a certified thyroid disease treatment giver to the patients so you can contact me by chat, telephone, by putting your questions directly to me through Lybrate. They know my telephone number, my address. You can contact me, come to me, you can chat with me and even have video chat with me. Thank you.read more
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Dr. Surekha Jain provides answers that are very helpful, helped me improve my health and professional. Wll b in touch shortly
Krishna K Singh
Dr. Surekha Jain provides answers that are very helpful. Mam..i hav done the way u hav adviced ..n it was helpful
I found the answers provided by the Dr. Surekha Jain to be well-reasoned. Thank u so much Mam.I am relieved.
Really found doctor helpfuland caring As inconsulted it for my sister
I am 3 months pregnant and I am having severe back pain and joint pains and body pain and tiredness What to do.
Having soybean is good r bad for health. When trying to conceive. If there is no cervical fluid 1 week before periods do I have chances of getting pregnant my endometrium was 0.98 cm on my 17th day.
The first six weeks after the baby is born is termed as the postpartum period. While this is a joyous phase for a mother, it requires healing and adjustments for the mother. While the mother bonds with the baby during this period, adjusting to surroundings with the new baby can be challenging affair. The postpartum care, therefore, becomes more important. Here is a brief guideline about the essential precautions of postpartum care and its importance-
- Get as much rest as possible: Postpartum care can be demanding for a mother. Sleeping is required to beat the fatigue and tiredness during this period. The baby wakes up from the sleep every alternate hour and the mother needs to feed him. To ensure that the mother is not physically exhausted, it is important that she sleeps whenever the baby does.
- Eat healthily: Maintaining a healthy diet during the postpartum care is extremely important. Food such as whole grain, protein, fruits, and vegetables can contribute to incremental healing. If a mother is breastfeeding the baby, consumption of fluid is equally as important as a healthy diet. A good diet helps a mother to gain sufficient energy that she is burning during the initial few weeks of giving birth to the baby.
- Avoid strenuous work: Each mother should take at least 2-3 months after delivery to get back to work. If the situation arises where a mother is forced to join back her job or take up professional activities, it should be ensured that she should not take up any strenuous activities. It will not only wear her out but take a heavy toll on the mental health as well.
- Exercise: Usually a doctor suggests the right time to exercise and prescribes the right exercise that is necessary to a mother. The exercise should not be too strenuous. A quick walk around the park, brisk jogging for 10 minutes, some easy-to-follow free-hand exercises can be extremely beneficial for a mother during this stage. Exercise can keep fatigue and boredom at bay and helps a mother increase the energy levels throughout the day.
- Seek help: Postpartum depression is very common among new mothers. It often shows up during the first few weeks after giving birth. Close to 80 percent of the mother explains abrupt mood swings, irritability, restlessness, insomnia, sadness, unexplained crying etc. It makes sense to visit a doctor or seek professional help if these symptoms do not go away after a couple of weeks of giving birth to the baby. Doctors can suggest ways to get over this phase easily. If not for these symptoms, a doctor should be consulted in any which case for a span of first three months to refrain from unwanted complications.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I've c section 2 months ago, I've no fever or any infection or redness but my incision hurt and there is burning sensation too. My doc prescribe me pain killer.
I am 23 years old. And I did unprotected sex on 15th october 2017 and I want to know whether I am pregnant or not. My due period date is 12th of november can I use the pregnancy kit to detect my pregnancy before my periods or should I use it if I miss my due period. Also I want to ask whether can I get the urine test done in lab and what is the suitable time to get it done in lab, can I get it done before a week of my due period date, will it show accurate results?
I sex with my girlfriend on 6th (5/10/2017) day of her cycle but she not get her mc till now .is there any possibility of pregnancy should I hv to worry about it? She have a regular cycle of 28-30 days .please help me out.
Dear Sir/Mam, I got into an unprotected sex on 15 and 16th sept 2017. In that month I got my periods on 5sept and lasted for 5 days. Today, its 3rd of Oct and my next period will be starting in 1-2 days. What are the chances of getting pregnant for me. And if I'm pregnant what should I do, as I have done medical abortion in April 2017. What should I do?
There are a number of ways in modern day medical science for helping couples conceive, in case they are not able to do so in a natural way. Apart from IUI, IVF and other forms of artificial insemination, one such way is ovulation induction. In this procedure, the ovaries are stimulated to release an egg which can maximize the chances of natural conception, or even through IUI. This is an effective process that works well, provided there are no other infections and diseases at play. It basically works by stoking the relevant hormones with the help of tablets and injections. Let us find out more about the process.
Varied Tests: Before embarking on the process, the doctor will conduct a number of tests to ensure that you are capable of conceiving by natural means or even with artificial insemination. These tests help in making sure that there are no other ailments in the picture, which may hamper the process of ovulation induction or affect the ovaries in general.
Ovulation Cycle: Thereafter, the doctor will take blood samples in order to study the exact ovulation cycle that the body follows. These blood samples will be studied to measure the level of hormones at different stages so as to find out the most opportune time when the situation may be congenial for the ovulation induction to begin. A transvaginal ultrasound will also be carried out so that the doctor may study the development of follicles within the ovaries. These follicles usually line the ovaries. This ultrasound will also study the thickness and appearance of the womb’s lining.
The Ovulation Induction Cycle: The ovulation induction cycle will begin with tests that will happen starting from day one to day four. Once the tests have ascertained that the body is ready to go through the process with maximum chances of conception, the process will begin on fourth day. On this day, the patient will be given medication like Clomiphene Citrate. This medicine is also usually given to patients who are undergoing IUI or artificial insemination as it is said to increase the likelihood of conception. The Follicle Stimulating Hormone injection will also be given to the patient on the same day.
After the Medication: Once the medication and injections have been administered, the patient will have to go through a test to study the hormone levels in the body. This usually takes place around day 10 or 11. Thereafter, two weeks later, the patient will go through an ultrasound to find out if the ovulation is about to begin.
Time: While this is an effective method, one must remember that the ovulation results may take time for women who do not have normal menstrual cycles. If you wish to discuss about any specific problem, you can consult a Gynaecologist.