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Dr. Sunita Sayammagaru - Endocrinologist, Hyderabad

Dr. Sunita Sayammagaru

91 (197 ratings)
MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK), CCT (UK)

Endocrinologist, Hyderabad

14 Years Experience  ·  400 at clinic  ·  ₹300 online
Dr. Sunita Sayammagaru 91% (197 ratings) MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), ... Endocrinologist, Hyderabad
14 Years Experience  ·  400 at clinic  ·  ₹300 online
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I am fortunate to have travelled to different places. Having been born and brought up in Hyderabad, having done my undergraduate training in Vijayawada and having worked abroad for 11 yea......more
I am fortunate to have travelled to different places. Having been born and brought up in Hyderabad, having done my undergraduate training in Vijayawada and having worked abroad for 11 years has given me a broad outlook on life. I love to spend time with my patients, to get to know them and treat them as a complete human being rather than as a disease or condition. I believe in holistic treatment – taking care of both the physical and psychological well-being of my patients. My aim is to provide patient centered and compassionate care. I am driven, enthusiastic and an optimist. I derive happiness from small pleasures of life. In my spare time, I love reading books on spirituality and philosophy, practice meditation, keep myself physically fit and enjoy time with my family.
More about Dr. Sunita Sayammagaru
Hello and Namaste, I am Dr Sunita Sayammagaru. I am a practising diabetologist and endocrinologist. I completed my undergraduate training in India, and I did my post-graduation in UK. After working in UK for 11 years, I returned back to Hyderabad last year and currently run my own clinic - New Leaf Clinic at ECIL, Hyderabad. I am also a medical content writer for www.medindia.com. I write patient health information regarding various topics in simple and easy to understand language. I love keeping myself up to date with the ever changing medical technology and research. I practice evidence based medicine. I treat conditions such as Diabetes both in adults and children, Type-1 Diabetes, Type-2 Diabetes, PCOD, Thyroid disorders, Disorders of bone metabolism, Obesity and other hormonal problems. Thank you for going through my profile.

Info

Education
MBBS - U . NTR University of Health Sciences - 2003
MRCGP ( UK) - Royal College of General Practitioners , UK - 2008
Diploma in Diabetes (UK) - University of Glamorgan (UK) - 2012
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DFSRH (UK) - Faculty of Sexual and Reproductive Health - 2009
DRCOG (UK) - Diploma of Royal College of Obstetricians and Gynaecologists - 2008
CCT (UK) - Post Graduate Medical Education and Training Board, UK - 2008
Languages spoken
English
Telugu
Hindi
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Gujarati
Professional Memberships
Royal College of General Practitioners (UK)

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New Leaf Clinic

H No 1-7-43/F-50, Next to Sree Uma Opticals, Kamalanagar,Radhika Movieplex Road, ECIL (Post) Hyderabad Get Directions
  4.6  (197 ratings)
400 at clinic
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Sri Vijaya Sai Diagnostic Centre

H no: 44, Saipuri Colony, SainikpuriHyderabad Get Directions
  4.6  (197 ratings)
400 at clinic
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"Very helpful" 60 reviews "Caring" 13 reviews "Professional" 10 reviews "knowledgeable" 33 reviews "Well-reasoned" 12 reviews "Inspiring" 3 reviews "Thorough" 8 reviews "Practical" 5 reviews "Nurturing" 2 reviews "Prompt" 5 reviews "Helped me impr..." 6 reviews "Sensible" 4 reviews "Saved my life" 2 reviews

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Diabetes and Depression - The Vicious Cycle!!

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Diabetes and Depression - The Vicious Cycle!!

Diabetes is a state where the body suffers from lack of energy due to poor metabolic state. This is construed as depression in many patients as they already feel lethargic and subdued. The fatigued state of body in diabetes can be alleviated by exercise which raises endorphins - substances which are released in the body especially by exercise - providing us the necessary elation so much necessary for our recovery

Managing diabetes may make a person feel alone and set apart from their friends and family due to the number of dietary restrictions they need to follow. Additionally, if the person has trouble controlling their blood sugar level, it may make him frustrated and anxious. Over time, these negative emotions can build up into depression.

Depression can make a person lose his sense of purpose and can make regular tasks feel like too much to handle. Thus, a depressed person may stop taking care of himself. The lack of energy can lead to a loss of appetite or unhealthy snacking. This can trigger fluctuations in blood sugar levels that worsen diabetes.

Thus, depression and diabetes have a cyclic relationship. The good news is that these two diseases can be treated together and managing one of these diseases can have a positive effect on the other as well.

Here are a few ways to treat diabetes and depression:

Regular Exercise

Regular exercise is very beneficial towards treating, both depression and diabetes. Exercise helps regulate blood sugar levels and hence can help control diabetes. It also helps in reducing excess weight, which can enhance your self image and make you feel happier. Simultaneously, it also releases endorphins or the 'feel good' brain chemical. This can help alleviate depression symptoms.

A Balanced Diet

A balanced diet is essential for good health and can help manage, both these disorders. Along with a balanced diet, there is also a need to abstain from snacking between meals. Reducing the amount of sugar in your meals helps stabilize blood sugar level and control fluctuations. Stable blood sugar level keep a person from becoming increasingly anxious and can thus prevent depression.

Restful Sleep

A good night's sleep can treat, both diabetes and depression. If you have proper sleep, you will awake feeling refreshed and energetic. This positive energy balances the negativity of depression, lowers the urge to snack and helps in stabilizing blood sugar level.

Psychotherapy

Psychotherapy or in particular cognitive behavioral therapy has been proven beneficial towards treating depression. This in turn gives a person the motivation needed to manage his diabetes as well. If you wish to discuss any specific problem, you can consult an endocrinologist.

3624 people found this helpful

Diabetes - How It Puts You At Risk of Cardiovascular Diseases?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Diabetes - How It Puts You At Risk of Cardiovascular Diseases?

One of the major risk factors for cardiovascular disease (CVD) is diabetes. Uncontrolled diabetes can lead to major heart problems. It is thus pertinent to take timely actions to control the insulin-related issues and save ourselves from CVD.

It is important to understand how diabetic patients are more prone to CVD than others to take pre-emptive actions to control it.

  1. Atrial Fibrillation: Atrial Fibrillation means an irregular and rapid heart rate which can increase the risk of stroke, heart failure and other cardiac issues. Individuals with diabetes are at an increased risk of developing atrial fibrillation. This risk is higher among patients with a longer duration of treated diabetes and poorer glycemic control.
  2. Hyperglycemia: Hyperglycemia means high (hyper) glucose (gly) in the blood (emia). Your body needs glucose to properly function. Your cells rely on glucose for energy. Hyperglycemia is a defining characteristic of diabetes, when the blood glucose level is too high because the body isn't properly using or doesn't make the hormone insulin.
  3. Hypertension: Hypertension in diabetes is considered a major contributor to the increase in mortality from cardiovascular diseases. Diabetic patients, especially those with Type 2, need to always have their blood pressure checked every visit to the doctor. Self-monitoring at home is also a must to maintain and control the rise of blood pressure. The American Diabetes Association recommends a target blood pressure of not more than 130/85 mm Hg to maintain a good level of blood pressure.
  4. Smoking: Smoking has been determined dangerous to our health. Studies show that smoking indeed increase risk of premature death and cardiovascular disease in diabetic patients. If you wish to discuss about any specific problem, you can consult an Endocrinologist.
3737 people found this helpful

Type 2 Diabetes - Symptoms And Causes

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Type 2 Diabetes - Symptoms And Causes

Glucose is the primary ingredient within the body, which is turned into an energy source. This is what we use when we move, walk or make the slightest movements. To metabolize glucose into energy, our body needs insulin, which is a hormone produced within the pancreas. However, if the body doesn't react to the insulin or the pancreas is unable to produce enough, glucose cannot be converted into energy and thus results in type 2 diabetes.

Symptoms of type 2 diabetes:

  1. Sudden or gradual weight loss despite increased hunger - Many people complain that they feel hungry and eat more, but despite this the tend to lose weight. This occurs as the body cannot metabolize glucose and uses energy reserves from fat or muscles leading to weight loss.
  2. Frequent infections and slow healing - If you are afflicted with type 2 diabetes, then it might affect your immune system and you may be prone to infections. Also, any cuts or bruises on your body will take much longer to heal than normal.
  3. Irritability and fatigue - Another common symptom of type 2 diabetes along with the other symptoms mentioned here is quick irritability and fatigue. This is because most of the body is deprived of sugar and thus lacks the energy needed to function normally. 
  4. Constant thirst and increased urination - If you feel constantly thirsty despite drinking ample water and urinating frequently, this may be a tell tale sign of type 2 diabetes.
  5. Skin darkening in folds and creases of the body - Also known as acanthosis nigricans; this is known darkening of the skin where it also becomes velvety to the touch. It usually develops in the folds of skin in areas, such as the neck and armpits and is a direct result of insulin resistance.

Causes of type 2 diabetes:

Some of the most common causes of type 2 diabetes could be:

  • Being overweight
  • Lack of physical activity
  • Genetic predisposition or family history 
  • If you are more than 45 years of age
  • Hormonal problems such as Polycystic ovarian syndrome

Treatment or management of type 2 diabetes:

In most cases, major lifestyle changes can easily keep the symptoms of type 2 diabetes in check although, in certain cases medications may also be required. Some of the steps necessary are as follows:

  1. Change in diet and healthy eating
  2. Physical activity and exercising
  3. Regular blood sugar monitoring and
  4. Blood sugar medication along with insulin therapy, if necessary 

    If you wish to discuss about any specific problem, you can consult an endocrinologist.

3419 people found this helpful

I got my blood sugar level 206 in fasting. I or my family members do not have diabetes. I have cold from 3 days. Did cold increase my sugar level or I have diabetes.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
I got my blood sugar level 206 in fasting. I or my family members do not have diabetes. I have cold from 3 days. Did ...
Hello Sir, It is very likely that you do have Diabetes. But, just based on one blood test report, a doctor should not diagnose Diabetes. Physical stress or mental stress can cause raised blood glucose levels. I would advise you to get your Fasting blood glcuose, your 2 hour post breakfast blood glucose and HbA1C levels checked after you recover from your cold. If these results are elevated, then you are having diabetes. I hope this answer has been helpful to you Kind regards.
3 people found this helpful
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Cushing's Syndrome - Sign's You Are Suffering From It!

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Cushing's Syndrome - Sign's You Are Suffering From It!

The adrenal glands are present above the kidneys (hence the name) and produces an important hormone known as cortisol. Cortisol is responsible for regulating multiple body functions, including controlling the blood pressure, protein and carbohydrate metabolism, and anti-inflammatory response, and stress management.

Under natural circumstances, the body produces excessive cortisol in the following situations:
Physically stressing situations like illness, surgery, injury, pregnancy, etc.

  1. Emotionally stressed situations
  2. Alcoholism
  3. Athletic training
  4. Malnutrition
  5. Depression
  6. Panic disorders

Causes: Cushing’s syndrome is a group of symptoms that manifest when there is too much cortisol in the body. It is more common in women than men, in the age group of 25 to 40. Some of the common causes for Cushing’s syndrome are listed below:

  1. Consuming too much of prednisone (and other steroids) or for prolonged periods can cause Cushing’s syndrome. These are strong anti-inflammatory medications and are used in asthma, arthritis, lupus, transplants, etc., to control the body’s inflammation reaction. It is therefore advisable to use topical steroids than oral steroids or injections as their effects are more noticeable and severe.
  2. Adrenal gland tumours can cause excessive production of cortisol.
  3. Pituitary gland tumours or adenomas also can also cause excessive production of cortisol, leading to Cushing’s syndrome.

The first type is known as exogenous Cushing’s disease and the others are known as endogenous Cushing’s disease.
Signs and symptoms: Cushing’s disease produces characteristic features which are referred to as the Cushingoid appearance. These features include the following:

  1. A rounded, plump face with a pinkish hue
  2. A moon face, with fat deposits on the face
  3. A buffalo hump with fat deposits between the shoulders
  4. Stretch marks on the abdomen, thighs, and arms
  5. Weak muscles, especially in the hips and shoulder
  6. Significant weight gain
  7. Skin that gets thin and bruises easily
  8. Extreme tiredness
  9. High blood pressure
  10. High blood sugar
  11. Thin arms and legs
  12. Delayed healing of cuts and injuries
  13. Increased facial hair in women
  14. Menstrual disorders
  15. Reduced libido, infertility, and erectile dysfunction in men
  16. Emotional issues like depression, anxiety, irritability
  17. Increased thirst and urination
  18. Bone loss, and eventually fractures
  19. Affected bone growth in the developing years
  20. Increased susceptibility to infections

Complications: Untreated Cushing’s disease can lead to bone fractures, hypertension, full-blown infections, kidney stones, etc.

Treatment: This would depend on the cause. If you are on long-term steroids, the dose would need to be adjusted. This should always be done under medical supervision, as it requires constant adjustment. Underlying tumours (pituitary or adrenal) need to be diagnosed and treated. There are other hormones too which come into the picture and need to be monitored. If you wish to discuss about any specific problem, you can consult an endocrinologist..

3312 people found this helpful

Diabetic Nephropathy - Tips To Help You Manage It!

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Diabetic Nephropathy - Tips To Help You Manage It!

Diabetes is not an isolated disease but a syndrome. It brings with it a host of issues, affecting almost all organs, and that is the reason it is a dreaded issue. Diabetes is the result of chronic inflammation and this inflammation gradually spreads to all other organs. One of the main organs adversely affected is the kidneys. The kidneys are essential filtration agents, and impaired kidney function can have a series of bad effects on the body.

The good news is that not everybody with diabetes will have diabetic nephropathy. However, risk factors for developing diabetic nephropathy are:

  1. Severe, uncontrolled diabetes
  2. Family history
  3. Prior kidney disease, even chronic infection
  4. Race or ethnicity (native Americans, African Americans, etc.)
  5. Preexisting hypertension or high cholesterol levels
  6. Obesity

If you have these risk factors, then all efforts should be aimed at keeping blood sugar at highly optimal level. Once it reaches beyond a certain level, it is very difficult to get it under control.

Symptoms

There would be no symptoms in the initial stages

  1. If you suspect that increased sugar levels could be damaging the kidneys, it is imperative to do renal functions annually to test for onset of kidney malfunction
  2. There could be swelling of the feet and ankles
  3. Urine tests may indicate increased levels of protein in the body (serum albumin in particular)

Management

The idea is to arrest or stop damage to the kidneys.

  1. Reduce and maintain blood pressure within the recommended levels. This will depend on the age and overall health status. Using angiotensin converting enzymes or angiotensin receptor blockers is the most effective way to control hypertension and related kidney damage
  2. Keeping blood sugar within the recommended levels helps reduce or stop damage to the blood vessels in the kidneys and thereby, prevent progression
  3. Maintain optimal levels of cholesterol, as this only adds to hypertension, which further worsens kidney function.
  4. Eat a heart-healthy diet and exercise regularly. It is a vicious cycle with components including hypertension, high sugar levels, increased heart disease, which all only continues in a circle nonstop. Breaking this cyclical trend is very important.
  5. Diet should not be too rich in protein, as the kidney function is impaired and may not be able to handle too much protein. Talk to a nutritionist as to how much protein is required and follow it strictly.
  6. Reduce salt levels in the diet, and strictly do not add extra salt onto your plate
  7. If you are a smoker, this is a great reason to quit, as it affects all the above conditions.
  8. Maintain weight under optimal levels. 

    If you wish to discuss about any specific problem, you can consult an endocrinologist..

3259 people found this helpful

What would happen if we intake expire diabetes medicines. (Not for me. Is about man aged 52)

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
What would happen if we intake expire diabetes medicines. (Not for me. Is about man aged 52)
Hello, No one should take medicines past expiry. Just like you will not consume food past expiry. Two things may happen - either the drug becomes ineffective and will not work, or the drug changes into something more toxic and may cause harm. I hope this answer has helped you Thank you.
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Know Everything About Hypothyroidism

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Know Everything About Hypothyroidism

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:

  1. 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.
  2. 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.
  3. Surgery: Surgery to remove thyroid gland (for e.g. thyroid cancer treatment, overactive thyroid etc.)
  4. Radiation to the neck (to treat cancer in the neck area): The thyroid gland cells are damaged due to the radiation.
  5. 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.
  6. Certain medicines: Certain medicines used to treat heart conditions, cancer, psychiatric conditions etc. – for e.g. amiodarone, lithium, interleukin-2, interferon-alpha.
  7. Pregnancy: Pregnancy (the reason is unclear but it has been noticed that the thyroid may get inflamed after delivery – this is called Postpartum thyroiditis.
  8. 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.
  9. 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.
  10. 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:

  1. Primary hypothyroidism: The problem is in the thyroid gland itself and thus there is reduced production /secretion of thyroid hormones.
  2. 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:

  1. Overt hypothyroidism: Here the patient is having the symptoms. Further the T3/T4 are low and TSH is high
  2. 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?

  1. Women have a higher risk of suffering from hypothyroidism than men.
  2. Older people are at increased risk.
  3. People suffering from other autoimmune diseases like Coeliac disease, Type-1 Diabetes Mellitus, Vitiligo, Pernicious anemia, Multiple sclerosis, Rheumatoid arthritis, Addison’s disease etc.
  4. People with psychiatric conditions such as bipolar disorder
  5. 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:

  1. Depression
  2. Constipation
  3. Hair loss
  4. Dry hair
  5. Dryness of the skin
  6. Tiredness
  7. Body pains
  8. Fluid retention in the body
  9. Irregular menstrual cycles
  10. Increased sensitivity to cold
  11. Reduced heart rate
  12. Increase in size of the thyroid gland – called Goitre. This is due to constant stimulation of the thyroid gland by TSH.
  13. Weight gain
  14. Carpal tunnel syndrome
  15. Hoarse voice
  16. Infertility
  17. Loss of libido/sex drive
  18. 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:

  1. 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.
  2. T4: A low level of thyroxine indicates hypothyroidism.
  3. T3: these levels are generally not needed to diagnose hypothyroidism
  4. Anti-Thyroid peroxidase antibodies (anti-TPO antibodies) or Anti- thyroglobulin antibodies are present in 90-95% of patient with autoimmune thyroiditis.
  5. Other blood tests include Creatinine Kinase, Serum Lipids, Complete blood picture etc.
  6. 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. If you wish to discuss about any specific problem, you can consult an endocrinologist.
3123 people found this helpful

How can I treat uncontrolled diabetes mellitus type 1 preoperatively and also post operatively?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
How can I treat uncontrolled diabetes mellitus type 1 preoperatively and also post operatively?
Hello Sir, You can control your blood glucose levels by following a good healthy diet, avoiding high calorie and high sugar food stuffs, limiting the intake of carbohydrates (rice, roti etc.), increasing the consumption of vegetables and taking adequate amounts of protein - dal, non-veg food etc. Kindly get your fasting and post prandial blood glucose tests regularly. Further get your HbA1C checked every 3 months. Your FPG should be less than 110, PPG should be less than 160 and HbA1C should be less than 6.5 % for good control. Kindly see a good diabetologist who can titrate your insulin doses. If you need any more specific information, please consult me privately through Lybrate. I hope this answer has helped you Thank you.
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I am diabetic - can I eat dry currents (raisins) - is it ok to drink coconut water (not sweet)

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
I am diabetic - can I eat dry currents (raisins) - is it ok to drink coconut water (not sweet)
Hello Sir, You can eat about 8-10 raisins. Eating too many raisins will increase your blood glucose levels. Drinking coconut water once in a while is Ok, but not daily. I hope this answer has helped you Thank you.
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It's for me m 31 years old male suffering from hypothyroid TSH >150 T3-39 T4-2.3 Pls suggest me what medicine shall I take.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
It's for me m 31 years old male suffering from hypothyroid TSH >150
T3-39
T4-2.3
Pls suggest me what medicine shall I...
Hello Sir, Your results show that you are having overt hypothyroidism. You need to go on Thyroid hormone replacement medication. You have to take this tablet once a day on an empty stomach in the morning. You need to get your Thyroid function tests repeated once every 6-8 weeks. . You can consult me privately through Lybrate if you wish. Then I can thoroughly assess you and prescribe the medication. Alternatively see a good endocrinologist. I hope this answer has helped you Thank you.
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I have thyroid problem my TSH level is between 7 to 8 miliunit. please tell me how much this is dangerous for me. My periods is also affect by this .My ovaries get bulky. Please reply.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
I have thyroid problem my TSH level is between 7 to 8 miliunit. please tell me how much this is dangerous for me. My ...
Hello Madam, Your TSH is only minimally raised. It is likely that you have subclinical hypothyroidism. It is not dangerous, it is quite easy to control with tablets. You need to get your TSH levels checked once every 2-3 months. As you are having period problems, you can be started on a small dose of Thyroid hormone replacement medication.. You can consult me privately for it if you wish through Lybrate. I hope this answer has helped you Thank you.
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The patient is 70 yes old. Suddenly her BP came down to 65. What we should do to bring her BP to normal. She is diabetic, hypertension, cardiac patient. She is taking medicines for these. Can any one please advice?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
The patient is 70 yes old. Suddenly her BP came down to 65. What we should do to bring her BP to normal. She is diabe...
Hello Sir, She can drink fluids. Also she should see her doctor so that he could reduce her BP tablet dose. She can increase her salt content for a few days and see Hope this helps you Thank you.
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In blood test report for sugar my plasma post 171, plasma fasting 128, and hbA1c (ngsp) 7.2 HbA1c (IFCC) 55.05 and estimated average glucose 159.9 what medicine should I take for this?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
In blood test report for sugar my plasma post 171, plasma fasting 128, and hbA1c (ngsp) 7.2 HbA1c (IFCC) 55.05 and es...
Hello Sir, Your blood glucose levels are borderline high. With appropriate medication and proper diet and exercise I am fairly certain that the glucose would come down to normal range. Reducing your weight will help you a lot too to reduce your blood glucose levels. The diet that will help you both with weight loss and blood glucose control is as follows: - eat plenty of vegetables either as salads or in curry form (made with less oil or fat). Avoid potatoes, colocasia, yam etc. Limit your carbohydrates intake- like rice, roti, chapati etc. Use whole grains wherever possible like bajra, Raghu, different types of mullets, whole wheat Upma etc. Take a small bowl of dal everyday. You can eat 2 fruits (avoid mango, jack fruit, sapota etc). Can drink glass of milk, take curds/buttermilk. Avoid sweets, cakes, biscuits, junk food etc. Exercise at least 45 min/day, includes brisk walking, cycling, jogging, swimming etc. I cannot advise you which medication to take in open forum due to Lybrate rules. You can consult me privately for that as private consultation. Or you could see a good diabetologist where you live. I hope this has helped you Thank you.
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I was doing weight training for a short period with no more than 20 lbs now I have stopped as I want more height what to do I am 18 now.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
I was doing weight training for a short period with no more than 20 lbs now I have stopped as I want more height what...
Hello Sir, I would advise you to eat a well balanced healthy diet with plenty of vegetables, fruits, milk, eggs. You may benefit from doing a workout on a horizontal pull up bar. I wish you best of luck Thank you.
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I'm a 25 years old girl with no thyroid. I have body pain all d time but haven't consulted a doctor. I feel lot of heat inside my body which is causing more discomfort. What should I do?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Hello Madam, Generalised body pains can be due to many reasons- like Anemia, low calcium and Vitamin D levels, hypothyroidism, lack of proper nutrition in your diet leading to multivitamin deficiency etc. You can get a complete blood picture, calcium and vitamin D levels, TSH levels checked and consult a general physician. Eat a proper well balanced and healthy diet. You could take a multi vitamin tablet every day too. I hope this helps you Thank you.
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Hi, I am atul, 41 ys old. I got tested for vit -d, which is found to be low, 14.9 ng/ml. I got it tested 2 years back also when it was found to be around 32, but still doctor advised me vit D3 capsules of 60000 iu once per week for 4-5 months. I took it but vit D didn't increase much and went to 35. In between my medicine was also reduced to 2000 iu and also stopped in between for some time. Now I was taking it 1000 iu per day from last 2-3 months but still after taking medicine, it came too low today, 15 only. Report attached. So, I am surprised why it is not increasing when I have taken medicines also. I also have history of hypothyroidism and high lipids from last 10 years. I take 62.5 mcg Thyronorm daily and 5 mg rosulip from last 3 months. Lipids are in control now. Please suggest what I should do and whi h medicine to take to elevate vit D levels. I was told to take combination of vit D3 along with Vit K2. Please suggest. Thanks a lot. Atul.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Hi, I am atul, 41 ys old. I got tested for vit -d, which is found to be low, 14.9 ng/ml. I got it tested 2 years back...
Hello Sir, Ibis a little unclear when you had the last Vitamin D levels checked. Vitamin D is synthesized in the skin when the skin is exposed to sunlight. Vitamin D is present in the food in very small quantities. So the only way you could get a reasonable level of Vitamin D levels in your body is by exposing your body- that is the upper part of your body including arms and legs to sunlight for at least 45 min every day. As it is nearly summer season now, you can sit in the sun at around 9-10 am every day for about 45 min. Alternatively you can continue taking 1000 IU of vitamin D tablet every day. Your lipid levels would be abnormal if you have hypothyroidism, once he thyroid hormone levels are in normal range, the lipid levels will reduce too. You could even stop the Rosulip but check your lipid levels once a year. Hope this helps you Thank you.
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Please tell me the symptoms of sugar. Also tell me the precautions of sugar. And medicine of sugar.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Please tell me the symptoms of sugar. Also tell me the precautions of sugar. And medicine of sugar.
Hello Sir, By sugar, I presume you mean diabetes. Type-2 diabetes in about 50 percent of people is asymptomatic- that means they do not have any symptoms. It is found out incidentally by doing blood glucose test for some other reason. In about 50 percent, the patients have symptoms like loss of weight, increased hunger and thirst, increased urination, tiredness, skin problems etc. To prevent getting diabetes you need to consume a good healthy and well balanced diet with plenty of vegetables. Avoid/restrict processed food and food made of maida, avoid junk food and deep fried items. Restrict or avoid sweets/chocolate, cakes etc. Take at least 2 fruits everyday. Take adequate quantities of protein-dal/eggs/non-veg. Take normal quantities (at least 1/3 of your plate) of carbohydrates like rice, roti etc. Take milk, buttermilk etc. Do at least 45 min of exercise everyday-running, cycling, swimming etc Do not become overweight or obese. If you have diabetes I would suggest to see a doctor as self-medication is dangerous. I hope this helps you Thank you.
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I have cuts in foreskin due to diabetic. Will it be beneficial if I use kadukkai orally? Can I apply paste of kadukkai on wound at the tip of pennies?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
I have cuts in foreskin due to diabetic. Will it be beneficial if I use kadukkai orally? Can I apply paste of kadukka...
Hello Sir, I am not a herbal practitioner and am not sure if the Kadukkai paste can help. But what can help in your case is a ointment which has a mild steroid along an antifungal in it. It looks like you are having a fungal infection. Avoid using any soap on your penis, just wash with normal water.
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Hi I am having issue of thyroid I just come to know that I am suffering of thyroid so please explain due to which deficiency thyroid issue is coming.

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Hello, I am assuming you are having hypothyroidism. This occurs due to the thyroid gland not producing adequate amount of thyroid hormones T4 and T3. Now-a days hypothyroidism is mainly due to autoimmune thyroiditis in which the body's defence system fights against the body's own organs. Iodine deficiency in diet can also lead to hypothyroidism. Hope this helps you thank you
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