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I am a 30 year old male, having hypothyroid from last 12 years. I am currently taking thyronorm 75 mg daily. Haven't got my thyroid checked for last 3 year's now. These days I am feeling very sleepy and tired. I am a regular gym goer. Is this sleepiness due to thyroid. Should I get it checked?

Internal Medicine Specialist, Kendujhar
I am a 30 year old male, having hypothyroid from last 12 years. I am currently taking thyronorm 75 mg daily. Haven't ...
Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned do check your T3, T4, and TSH now and if you need dose adjustment then discuss with your treating Doctor[Endocrinologist]. Some diet suggestions for hypothyroidism include: 1) Take foods high in Omega 3 and Omega 6 fatty acids such as leafy green vegetables, salmon, nuts, seeds, and shrimp etc 2) Drink plenty of fluids throughout the day. Water and green tea can be sipped on in between meals to prevent dehydration. 3) Iodine rich foods such as seaweed and algae should be eaten regularly. 4) Foods such as broccoli, cauliflower, soy, beans, and spinach can actually slow down the functioning of the thyroid so they should be eaten in small quantities. 5) try to avoid artificial sweeteners, caffeine, dairy, and alcohol when on a diet for hypothyroidism. 6) Take one multivitamin caps like [Rejuvit Plus] once a day at bedtime and learn to eat a healthy balanced meal that provides you with all the necessary nutrients, vitamins, and minerals required to function optimally. In addition to this add at least an hour of exercise thrice a week and you can boost your metabolism and reduce symptoms such as fatigue as well. Hope that helps.
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I am suffering from Thyroid without any system. casually I done routine blood test and detected TSH level 32 before 3 years ago. And according to local doctor advice I am taking Thyronorm 100 mcg. After one year I have visited CMC Vellore for Endocrinologist consultant. Dr. Saha setty DM Endo. Examine me an prescribe thyronorm 125 MCG after proper administration one year after My blood report TSH is 0.5 (normal lower level 0.35)T4 and T3 IN normal range. I have no problem. No other disease. My query How much power Thyronorm I can take ?please advice.

M.D. Internal Medicine
Endocrinologist, Mumbai
Probably you may need to reduce your dosage. I am sure the doctors had advised you for sonography of thyroid gland to find out underlying pathology. Many times vitamin and mineral deficiency can also cause thyroid dysfunction. Hashimoto thyroiditis is very common in female patients - I am sure you have done anti TOP antibodies. Ideally once hypothyroidism found you need to consult and do thyroid function testing every 4 monthly if not possible then at least 6 monthly.
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Had doubt of thyroid but I got it tested found no thyroid I face swelling in my feet, itching in palms of feet and hands Didn't got periods PROPERLY since last 2-3 months please help to handle this situation. Seriously fed up with the itching and swelling. Please help. T3, Free; FT3 = 3.07 pg/mL 2.30 - 4.20 T4, Free; FT4 = 1.16 ng/dL 0.89 - 1.76 TSH, Ultrasensitive = 2.009 uIU/mL 0.550 - 4.780.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Had doubt of thyroid but I got it tested found no thyroid
I face swelling in my feet, itching in palms of feet and ha...
Hello, Thanks for the query. It would have been better if you had mentioned your weight, height and change in weight (increase) in recent months. The results mentioned are showing normal hormone levels. Please also get a Anti TPO antibodies test. Plus please mention your age, BP readings. Thanks.
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Juvenile Rheumatoid Arthritis - Know How It Affects You!

MBBS, MD - Medicine, DNB - Rheumatology, Fellowship In Rheumatology
Rheumatologist, Delhi
Juvenile Rheumatoid Arthritis - Know How It Affects You!
Juvenile rheumatoid arthritis also known as juvenile idiopathic arthritis is a commonly occurring arthritis in children under the age of 15. Some common problems that are faced by patients with this disease include stiffness, joint pain, and swelling. While the symptoms might persist for a few months for some patients, for others it might continue for the rest of their lives. Patients might face serious complications such as inflammation of the eye, problems related to growth etc. The treatment of this condition focuses on preventing the bones from getting damaged, pain control and improving the function of the body.

What are some of the common symptoms of juvenile arthritis?

Pain: A child suffering from juvenile rheumatoid arthritis might face extreme pain in the joints. They might limp after a nap or night sleep due to pain or stiff joints.
Swelling: Larger joints such as the knee might swell frequently. The swelling might occur in smaller joints too.
Stiffness: In addition to limping the child might appear rough and clumsy after waking from night sleep or a nap.
Other conditions could include rashes, swollen lymph nodes, frequent fever, headache, etc.

What are the causes of Juvenile Rheumatoid Arthritis?
Juvenile Rheumatoid Arthritis occurs when the immune system of the body attacks its own tissues and cells. It is still unclear as to why it happens, although, researchers believe that the environment and heredity have a role to play. Certain geneticmutations might make a childmore vulnerable and susceptible to microbes that can trigger this condition.

What are the complications involved?
There could be several complications that might arise due to this condition. It is, therefore, wise to keep a close watch on the child. Seeking immediate medical attention can go a long way in mitigating the risk of these complications.

Problems related to the eye: Juvenile Rheumatoid arthritis can damage the eye by causing an inflammation known as uveitis. If this condition is not treated, it might result in other conditions such as glaucoma, cataracts, blindness etc.
Growth problems: Juvenile rheumatoid arthritis could result in growth problems. To treat this, a child would require a dose of corticosteroid.
How to diagnose juvenile arthritis?
It is not very easy to diagnose juvenile arthritis. Doctors often prescribe blood tests to get an idea of erythrocyte sedimentation rate, rheumatoid factor, C-reactive protein, anti-nuclear antibody, cyclic citrullinated peptide etc. A doctor might also prescribe imaging tests such as X-rays, MRI etc to detect congenital defects, fractures, tumors etc.

What are the treatment options available?
Some of the medications that are prescribed for this condition include NSAID such as ibuprofen and naproxen, DMARD such as Trexall and Azulfidine, TNF blockers such as Humira and Enbrel, immune suppressants such as Kineret, Rituxin and Orencia. In addition to this doctors would also prescribe corticosteroids and therapies.
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Suffering From Thyroid - Why Surgery Is Required?

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Suffering From Thyroid - Why Surgery Is Required?
The thyroid disease is increasing rapidly in India and this is creating an alarming situation. According to the Indian express over 30% of Indians suffer from thyroid disorders. This makes it a possibility that every third Indian is suffering from this disease. As there are many ways to cure the disease but surgery is an effective way to cure the disease.

What is thyroid?

It is a small gland located below the voice box at the front end of the neck. The function of the thyroid gland is to produce hormones that release through the blood in the body. Thyroid is good for maintaining the metabolism of the body. It also helps in the proper functioning of the organs. The problem occurs when thyroid starts to produce hormones in excess.

Due to this excessive production body faces many changes such as swelling and growth of nodules. For treatment of this disease, thyroid surgery is necessary. In thyroid surgery, the whole or portion of the thyroid gland is removed.

There are multiple reasons why surgery is required to cure thyroid such as

Presence of nodules on the thyroid gland: The growth of nodules are the reason why surgery should be preferred as some nodules can be gentle but in some cases, these nodules can be very dangerous as nodules can be cancerous. And, these nodules help in the overproduction of the hormones. As these nodules, if not removed can become large enough that they hinder the functioning of the throat. So surgery is a good option as nodule is removed so the cause of the problem is eliminated by it.
Hyperthyroidism: The second reason is Hyperthyroidism. As it can be cured by the surgery. Hyperthyroidism is caused by the Grave's disease. What it does is that it interrupts the functioning of the body. The body attacks the thyroid glands by the antidotes. Which intensify the production of hormones, which causes overproduction. Therefore, surgery is the most suitable option.
Swelling and enlargement: As due the excess of hormones. The swelling is caused in the throat this disrupts the functioning of throat and throat gets blocked due to swelling. It effects the speaking, breathing and eating . This swelling and enlargement is called goiter. This goiter can be removed through surgery. As medicine takes a lot of time to heal the swelling.
Moreover apart from things mentioned above surgery is the most suitable way to cure thyroid it takes less time than the medication. The type of the surgery depends on the nature of your thyroid.

Suffering From Rheumatology - How Can You Handle Pain?

MBBS, MD - Medicine, DNB - Rheumatology, Fellowship In Rheumatology
Rheumatologist, Delhi
Suffering From Rheumatology - How Can You Handle Pain?
Rheumatoid arthritis is an autoimmune disorder. It affects the joints as well as the skin, lungs, heart, eyes and blood vessels. This condition is most notorious for the pain and discomfort it causes in the joints. Unlike osteoarthritis, it does not attack the cartilage but affects the lining of the joints.

This results in erosion of the bone tissue and can even cause deformities. There is no known cure for this condition and treatment is mostly focused on relieving the pain caused. Some of the ways to manage your pain are:

Medication: Medication can help control the inflammation and pain caused by rheumatoid arthritis. Disease-modifying antirheumatic drugs or DMARDs are usually the first course of treatment. These may be accompanied by steroids and help reduce inflammation. The best medication to relieve pain is non-steroidal anti-inflammatory drugs or NSAIDs. In some cases, stronger pain relievers may be prescribed but these should be used cautiously. Excessive dependence on pain relievers can cause addiction.
Change Your Diet: A diet rich in Omega 3 fatty acids can help control inflammation. In turn, this can help relieve discomfort and slow the progression of the disease. Cold water fish and fish oil supplements are rich sources of omega 3 fatty acids. In addition, it is important to have a well-balanced diet and to avoid excessive carbs and sugars that can lead to weight gain. It is important to note that heavier people suffer from more pain as their weight puts pressure on the joints.
Exercise Regularly: Rheumatoid arthritis makes movements difficult and hence exercising may seem counterintuitive but this can help in the long run. Avoid high-intensity workouts and pick low-intensity activities like walking, cycling, swimming etc. Water aerobics is one of the best forms of exercise for rheumatoid arthritis. Yoga can also be very beneficial. Regular exercise is important but it is also important not to overdo it. Put exercising on hold during acute flare-ups and avoid doing anything that increases your pain. It is a good idea to consult a physical therapist to know what the best type of activity is for you.
Hot and cold packs: Heat and cold therapy can help relieve pain immensely. A hot pack will help relax the muscles while the cold pack will numb the pain. Heat packs and cold packs can be used alternatively. Alternatively, you could soak the affected joint in hot water and cold water.
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I am suffering from Severe Polyarthritis. Pease Prescribe Some Medicine To Get Rid Of This Pain.

Rheumatologist, Chennai
I am suffering from Severe Polyarthritis. Pease Prescribe Some Medicine To Get Rid Of This Pain.
Poly arthritis is inflammatory arthritis Pleae do Esr CRP RF ANTI CCP. Tests and consult through practo paid consult for evaluation and resolution of your symptoms.
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