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Overview

Thyroid Disorders: Treatment, Procedure, Cost and Side Effects

What is the treatment?

The thyroid is a butterfly shaped gland that is present at the back of your neck and any dysfunction with this gland is known as a thyroid disorder. There are many different problems that can occur with your thyroid, which is why there are so many different conditions and ailments to consider. Therefore, there are multiple treatments for thyroid disorders, depending on the condition you are suffering from. These treatments range in their effectiveness and the recuperation period.

Thyroid disorders can be treated in many different ways, depending on the problem your gland is causing. For infections and diseases, your doctor may prescribe a range of antibiotics to help clear them up. Sometimes, your thyroid may develop a cyst on it. Though this cyst may be benign, it may cause issues like excessive weight gain if you are not careful. The cyst can be removed through surgery in order to treat it.

Hypothyroidism and hyperthyroidism are also common ailments connected to the thyroid. Both can dramatically alter your weight and the hormone production in your body. They can be treated with a range of medications that ultimately control your thyroid.

Thyroid cancer is another problem that occurs in the thyroid. It is treated with the help of chemotherapy and radiation, and even surgery if required. The treatment depends on how far the thyroid has spread in your system.

How is the treatment done?

The first step to treating any problem is first diagnosing it. With thyroid disorders, a blood test can reveal the amount of TSH and TRH levels in the blood. These indicate how well your thyroid gland is functioning and the hormones that it is releasing. Furthermore, an ultrasound may be needed to rule out any growths, cancerous or benign ones on the thyroid gland. In case an ultrasound is inconclusive, an MRI might be needed to gain a better picture of the problem. Based on the results of the tests and the symptoms and signs your body is showing, your doctor will then diagnose the problem and administer the right course of treatment.

Antibiotics are the first line of treatment when it comes to any infections or diseases that might be present in your thyroid gland. In case you are suffering from any pain, creams and ointments, along with pain relievers may also be included in the treatment plan. If the ultrasounds show a growth in the thyroid, your doctor will order a biopsy to rule out cancer. If the growth is benign, it can be removed with a simple surgery or laparoscopically.

If you have a cancerous growth in the thyroid, depending on how far its grown, chemotherapy, radiation, or removing the growth through surgery will be the line of treatment.

Who is eligible for the treatment? (When is the treatment done?)

If you have begun to notice changes in your body or if your recent blood tests have shown abnormal levels of TSH or TRH, you should consult a medical professional and get treatment for any thyroid disorder you may be facing.

Who is not eligible for the treatment?

Sometimes, an underlying condition can mimic some of the tell-tale signs of thyroid disorders. If you have a health condition that could be causing symptoms, then treating your thyroid will not help.

Are there any side effects?

Thyroid disorders, as well as some of the treatments, can lead to drastic changes in your weight and energy levels. You may also notice changes in your body hair. Chemotherapy can lead to nausea, vomiting, weakness, fatigue, and drowsiness. It can also lead to the loss of hair.

What are the post-treatment guidelines?

With thyroid disorders, monitoring and regulating your diet becomes extremely important. Your doctor will chart out the different food groups you should focus on consuming and the ones that you should stay away from.

How long does it take to recover?

The recovery period depends on the problem you have. Most infections can be cleared within a few days. Cancer can take months or even years to go into remission and can come back at any time. Some disorders are lifelong ailments and need to be managed through diet and medications.

What is the price of the treatment in India?

The price of chemotherapy can range from Rs. 57,000 – Rs. 60,000 per session.

Are the results of the treatment permanent?

Depending on the thyroid disorder that you have, the results can be permanent.

What are the alternatives to the treatment?

There are no alternatives or home remedies for thyroid disorders.

Safety: Medium Effectiveness: Medium Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range:

Rs 57,000 - Rs. 60,000

Popular Health Tips

Thyroid And Calcium Supplement - Are They Necessary?

MBBS, Post Graduate Diploma In Diabetology (PGDD)
Endocrinologist, Thane
Thyroid And Calcium Supplement - Are They Necessary?

The thyroid gland is a small butterfly-shaped gland located at the base of the neck. This gland is responsible for regulating metabolism by releasing thyroid hormones. The underproduction or overproduction of these hormones could affect every aspect of an individual’s health. One of the minerals affected by the functioning of the thyroid gland is calcium.

Calcium is a very important mineral for the human body. It not only builds a strong skeletal structure but also helps with muscle contractions, blood clotting and regulates enzyme levels. The thyroid gland and the parathyroid gland are directly responsible for calcium regulation in the body. This is done through the calcitonin hormone. This hormone is released by the thyroid gland. Calcitonin helps regulate the calcium levels in the blood and keeps it from accumulating in the bloodstream.

Because of the important role played by calcium in our bodies, calcium supplements are the easiest way to maintain the calcium levels in the body. However, for patients suffering from hypothyroidism, this may not be a good idea. Calcium supplements can interfere with thyroid medication such as levothyroxine. Instead, calcium can be sourced from the food being eaten.

Milk is not the only food group that provides calcium to the body. Some of the other foods that you could get calcium from include:

  1. Beans: All legumes are a great source of calcium. Of these, winged beans have the highest concentra5tion of calcium. One cup of winged beans can give the body up to 24% of its required amount of calcium.
  2. Fish: Fish such as sardines and salmon are great sources of calcium. Between these two types of fish, sardines have more calcium. These can be eaten fresh or tinned.
  3. Cheese: Parmesan cheese has the highest concentration of calcium. However, all other types of cheese contain calcium as well. As a rule of thumb, soft cheese has a lower amount of calcium as compared to hard cheese.
  4. Seeds: Seeds are a powerhouse of nutrition. One of the minerals, these tiny seeds are rich in is calcium. one tablespoon of sesame seeds has 9% calcium while one tablespoon of poppy seeds has 13% calcium.
  5. Yogurt: Yogurt is a rich source of probiotics and calcium. One cup of yogurt a day can give the body up to 30% of its calcium requirements. This includes full-fat yogurt as well as low-fat yogurt. Greek yogurt also contains calcium but in a lower concentration as compared to regular yogurt.
5 people found this helpful

Thyroid - Know How It Can Mess Up Your Mensuration Cycle!

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Thyroid - Know How It Can Mess Up Your Mensuration Cycle!

Irregular periods and menstrual cycle disturbances are common in almost 30% women due to several reasons, and thyroid disorders one among them. Most women may not realize that their menstrual cycle is closely related to the proper functioning of their thyroid gland. Any irregularities in your menstrual cycle might be caused due to hypothyroidism or hyperthyroidism and knowing the symptoms will help you seek the help of an expert to treat the condition.

Severe premenstrual syndrome
Most women experience a premenstrual syndrome or PMS, a week or 10 days before their period starts. When the woman is suffering from thyroid disorders, this syndrome becomes severe. The common symptoms include bloating and fluid retention, tenderness in breasts, fatigues, insomnia, headaches, cramps, food cravings, tension, irritability, anxiety, depression, trouble in concentrating and many more. These symptoms are magnified when she is suffering from hypothyroidism.

Conditions that affect menstrual cycle

  1. Hypothyroidism: Hypothyroidism is caused when you have an underactive thyroid, and it is a common disorder of the endocrine system in which the thyroid gland fails to produce adequate thyroid hormone. Several menstrual irregularities are associated with hypothyroidism. They are:
  2. Early menstruation: The average age of menarche or the first onset of a period is 12. But a girl suffering from hypothyroidism can experience menstruation as early as the age of 10.
  3. Heavy menstrual periods: A woman can suffer from menorrhagia or heavy periods if she has hypothyroidism. Under this condition, the woman can experience heavy and prolonged menstrual bleeding.
  4. Frequent menstrual periods: Hypothyroidism causes periods to occur more frequently, mainly at a gap of 21 days instead of the usual 28-day cycle.
  5. Longer menstrual periods: While a menstrual period lasts for an average of 5 days, hypothyroidism patients will have their periods lasting longer than 6 days.
  6. Painful menstrual periods: Dysmenorrhea is the term used to describe painful menstrual periods. This includes backaches, menstrual cramps, headache, and stomachache along with other symptoms.
  7. Hyperthyroidism: It is a condition caused due to the excessive production of thyroid hormone by the thyroid gland. An undiagnosed and improperly managed hyperthyroidism can cause several menstrual irregularities, such as 
    • Late menstruation: A female suffering from an untreated hyperthyroidism will experience her puberty at a late age of 15 or older compared to the average 12 years.
    • Lighter menstrual periods: The periods experienced by hyperthyroidism patients are lighter than the usual.
    • Short Menstrual periods: While the average time span of a period is 5 days, hyperthyroidism patients will have a period span of 3 days or lower.
    • Sporadic menstrual cycle: Hyperthyroidism patients suffer from oligomenorrhea, where they experience a strange and irregular menstrual cycle. The period may skip one or even two months and then resume again or come every 35 to 40 days.

When there is an irregularity in menstruation for more than 6 months, it becomes important to consult your physician to know the cause behind it and follow the appropriate treatment procedure. In case you have a concern or query you can always consult an expert & get answers to your questions!

2605 people found this helpful

Thyroid: Can Your Still Get Pregnant?

MBBS, Post Graduate Diploma In Diabetology (PGDD)
Endocrinologist, Thane
Thyroid: Can Your Still Get Pregnant?

What Actually Is This Thyroid?
The thyroid is a small, ‘butterfly shaped’ gland, situated just below the larynx (voice box) in the lower part of the neck, just above the collar bones.

What Is The Function Of The Thyroid Gland?
The purpose of the thyroid gland is to take iodine from foods that we consume and convert them into thyroid hormones: thyroxine (T4) and triiodothyronine (T3).
T4 and T3 are responsible for the metabolism of every cell, proper growth, development and repair of the body. It is important for the development of the central nervous system, regulation of blood calcium levels, energy production, fat metabolism, oxygen utilization, and weight maintenance.

Causes

  1. Exposure to environmental toxins – electromagnetic radiation, chemicals, pesticides, heavy metals
  2. Genetic susceptibility
  3. High levels of stress
  4. Nutritional deficiencies
  5. Autoimmune disorders
  6. Infections
  7. Other hormone imbalances, e.g. estrogen, prolactin imbalance

How Does Thyroid Influence Fertility Potential?
Thyroid problems can interrupt the complex process of the menstrual cycle and can result in an irregular menstrual cycle. This, in turn, results in failure of fertilization of an egg by the sperm and thus, failure in conception.

  1. Anovulatory cycles: This means that you are not ovulating i.e. not releasing an egg.  Luteinizing Hormone (LH) is responsible for the release of an egg from the ovary. If thyroid hormone levels are imbalanced, they cannot support LH to do this.  If no egg is released this makes pregnancy impossible.
  2. Luteal Phase Problems: It takes around 13-15 days to nurture a fertilized egg. If the second half of your menstrual cycle (luteal phase) is very short due to poor LH response and subsequent insufficient progesterone production (T3 required for progesterone release from the luteal cells), a fertilized egg can’t implant securely and will end up leaving your body at around the same time when menstruation would occur.
  3. Low Body Temperature: Low thyroid function will also cause a lower basal body temperature. The rapidly dividing cells in a little embryo need a specific temperature range for that division to take place.  If your basal body temperature is very low, the embryo may not be able to continue growing. This increases the risk of early miscarriage.

How can you still be Pregnant?
Increased intake of iodine-rich food: Whole fat yogurt, raw dairy product, strawberries, potatoes with the skin left on, zinc with vitamins E, A, B, C, and selenium are responsible for thyroid hormone manufacture.
Stress results in elevated levels of cortisol. Increased cortisol level will inhibit the conversion of T4 to the active T3 hormone and will stop the active T3 entering cells sufficiently. Stress Management techniques like meditation, Yoga is required.

Exercise is beneficial as it will stimulate thyroid hormone secretion and increase tissue sensitivity to thyroid hormones.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1720 people found this helpful

Silent Thyroiditis - Signs You Might Be Suffering From It!

MBBS, MD - Paediatrics, FRACP - Pediatrc Endocrinology, SCE, Endocrinology
Endocrinologist, Kanpur
Silent Thyroiditis - Signs You Might Be Suffering From It!

The thyroid is a small gland that controls metabolism and growth. Silent thyroiditis is a common autoimmune disorder that affects the thyroid gland. It causes an inflammation of the thyroid gland and is characterized by mild symptoms of hyperthyroidism and hypothyroidism. It is known as Silent thyroiditis because this condition is not painful in any way. Silent thyroiditis is also known as lymphocytic thyroiditis or subacute lymphocytic thyroiditis.The cause of this condition is unknown and hence it is not possible to prevent it. This is one of the least common disorders to affect the thyroid gland. However, middle aged women are at the highest risk of suffering from this condition. Other risk factors include a family history of thyroid disorders, certain autoimmune diseases, removal of the adrenal gland or treatment for cancer.

Some of the symptoms of silent thyroiditis are:

  1. Fatigue
  2. Increased sensitivity to heat and cold
  3. Erratic bowel movements
  4. Irregular menstrual periods
  5. Increased appetite
  6. Palpitations
  7. Irritability and nervousness
  8. Unexplained weight loss
  9. Excessive sweating

If you notice such symptoms, you must consult a doctor. To determine a silent thyroiditis diagnosis, a thorough physical examination and a few tests are required. The physical examination focuses on the size of the thyroid gland, heart rate and presence of tumors if any. A blood test will also be required to check thyroid hormone levels such as T3, T4 and TSH levels. Your doctor may also ask for an ultrasound of the thyroid gland and an imaging test to determine iodine radioactive uptake.

Silent thyroiditis has a good prognosis and patients usually recover within one year. The acute phase typically lasts only three months. Most patients do not require any form of treatment for this condition but regular checkups are advised to keep track of the disease. In rare cases, medical treatment may be required. For example, if the patient complains of increased heart palpitations or excessive sweating, beta blockers may be prescribed to lower the heart rate. The patient is advised to get plenty of rest and avoid any stressful situations.

In some cases, silent thyroiditis may lead to permanent hypothyroidism. In such cases, medication may be prescribed to normalize the thyroid hormone levels. In some cases, thyroid hormone replacement therapy may also be advised. Surgery and radioactive iodine treatment a not required to treat silent thyroiditis. However, even after the symptoms subside, a close follow up is required to check thyroid hormone levels. In case you have a concern or query you can always consult an expert & get answers to your questions!

3679 people found this helpful

Irrfan Khan - Battle Against Neuroendocrine Tumour!

MBBS, MD - General Medicine, Certification In Diabetes
Endocrinologist, Delhi
Irrfan Khan - Battle Against Neuroendocrine Tumour!

Irrfan Khan's saddening revelation about his health and diagnosis of Neuroendocrine tumour (NET) has undoubtedly created a rage amongst his fans, which is now being followed by good wishes for speedy recovery from his supporters all across social media.  

The actor shared in an emotional Twitter post that he’s been diagnosed with NET, a rare tumour that develops from cells of the neuroendocrine system and grows predominantly in the digestive or respiratory tract - lungs, appendix, small intestine, rectum, and pancreas - it can occur in any part of the body.

Here is more on Irrfan’s disease:

What is NET?

A neuroendocrine tumor is characterized by a rapid and abnormal growth that happens in the nerve cells which produce hormones. Hormones control how different organs in the body work.

It is a condition wherein, endocrine cells, the hormone-producing cells of the body, develop a tumor in any part of the body - while it can can grow in lungs or the thymus, or more rarely, in the ovaries, kidneys, or testicles - the most common is lung, intestines, and pancreas.

What causes NET?

A neuroendocrine tumour is quite a rare disease, occurs in less than one per million cases. The exact cause is not known.

The Symptoms-

It can cause a myriad of symptoms, depending on where in the body the NET is.

  1. If it is in your digestive system, it can cause pain or discomfort in the abdomen area that comes and goes. You may feel sick, nauseated, vomited, or there may be a change in how often you pass stools.
  2. If the NET is in the lung, it can cause shortness of breath, chest infections, or you can even have a cough up blood.
  3. Weight loss and loss of appetite may also be some common signs of a neuroendocrine tumour.
  4. Some NETs may overproduce a hormone-like substance called serotonin. This causes a group of symptoms called carcinoid syndrome. Symptoms include wheezing (like asthma), flushing of the skin and diarrhoea.

Who can be affected with NET?

  1. These tumours, depending on the type, are more common in certain age or sex. And few have very strong family history too.
  2. People who have a rare condition called multiple endocrine neoplasia 1 have an increased risk of developing a NET.

Did You Know?

Apple founder ‘Steve Jobs‘ died from the same disease in 2011. The tumour affected his pancreas.

Know The Different Types of NET:

Based on the organ that is affected, NET can vary a lot. When the chromaffin cells that produce adrenaline are affected, it is called Pheochromocytoma, and it is related to the stress levels of the body.

When a cell is formed abnormally under the skin and the hair follicles, it is called Merkel cell cancer. This is also called neuroendocrine carcinoma of the skin and the condition can occur anywhere in the body. The commonly occurring places include lungs, gastrointestinal tract, and brain.

The status of the tumour, cancerous (malignant) or noncancerous (benign), decides the survival rate. Often slow-growing and noncancerous, they can invade surrounding parts of the body and at times, turn cancerous and spread across the body. However, you can still choose to live a good quality life with strict modifications in diet and lifestyle. The changes are made after taking into consideration the symptoms of the tumor. The organ where the tumor is formed also matters.

How Is It Treated?

Treatment depends on the location of the tumour, its type, how severe it is and whether it has spread to other parts of the body. Usually, the first treatment choice is surgery to remove the tumour. And, if the NET cannot be removed, your will prescribed with a treatment that will not only relieve the symptoms but will also improve the quality of your life.

How can a NET be prevented?

The first thing you need to do for the prevention of NET is to curb stress. Stress affects the entire body severely.

Lifestyle modifications:

A healthy lifestyle is what you need to stick to if you want to manage its symptoms during the treatment cycle. Your doctor will prescribe you to do exercises at least 4 days a week for a minimum of 30 minutes. You can also try a walk instead of strenuous exercises.

People with carcinoid syndrome may be advised to avoid food or activities that may trigger flushing, such as eating spicy food or drinking alcohol.

Indulge yourself in therapies that help in gaining more positive energy. If you are already affected by NET, eliminate all the sources of stress and get a good night's sleep every day. Join the support groups that make you grow strong and happy. After all, the mind is devised to do miracles when it is full of life and positive thoughts.

Is Irrfan Khan's tumour curable?

Dr Saumitra Rawat, HOD, Surgical Gastroenterology & Liver Transplant, Sri Ganga Ram Hospital, said, "NeuroEndocrine Tumour is an abnormal growth of Neuroendo cells which are present in bodies. When there is an abnormal growth, then it forms a tumor - Normally seen in intestine, pancreas, lung, thyroid and other parts of the body".

On commenting on Khan's case, he said, "It depends on the location of tumour, its size, and what is its mitotic index".

"Depending on where the tumour is localized, you can take it out surgically and the chances of cure are very high", Dr Rawat explained.

Actor Irrfan, who has been diagnosed with the disease is one of the most versatile actors in India, has also made a name for himself in the west, where he has been an important part of critically-acclaimed films such as ‘The Namesake’, ‘Jurassic World’, and ‘Life of Pi’. At home, the actor has delivered remarkable performances in films such as ‘Haasil’, ‘Paan Singh Tomar’, ‘Maqbool’, ‘Lunch Box’, ‘Piku’, and the most recent ‘Hindi Medium’.

Irrfan Khan is not just a disarmingly natural actor, but also an endearing human being -- honest and humble to the core. It’s time to stand together and pray for him a speedy recovery!

5548 people found this helpful

Popular Questions & Answers

My mom having thyroid problem and she is using medication also but recently I have been tested my mom thyroid checkup. I got report like thyroid stimulating hormones value is 15.61 ml so can you please let me know what's the problem exactly my mom having. Please suggest me what I have to do.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query. She has hypothyroidism, which needs to be treated effectively with appropriate dosage of Levothyroxine. Thanks.
1 person found this helpful

Sir I'm 34 years old. I'm suffering with thyroid and asthma. My legs and arms are swelling a lot with pains. I am using thyronorm 100 mg and montek lc tablets. I am having hypothyroidism. Kindly suggest me a solution for swelling .Thank you sir.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
lybrate-user ji, Thanks for the query. When hypothyroidism is not well controlled, there is a possibility of developing swelling or edema of face and lower limbs. What is TSH level, because in well controlled situation TSH is around 3 to 4 mU/L At that level all the symptoms are in check. Thanks.

Hey, I have celiac disease and I had been pearl millet, I was unaware about my thyroid I had been feeling something is wrong with, tsh t4 and t3 is normal my gland enlarged little I am facing really issue, now I am taking sorghum is it safe for thyroid help?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Mr. lybrate-user, Thanks for the query. If your Thyroid hormones and TSH are normal then there is less likely hood of having any problem with thyroid gland. Is there a definite increase in the size? Has the doctor confirmed it? Please get ANti TPO antibodies level checked, because if the gland size is increasing and TSH is still normal, there is a possibility of an autoimmune problem called Hashimoto's Thyroiditis (HT). Sorghum is fine, There is no problem with that. Soy beans should be avoided. Thanks.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Thyroid Disease in Pregnancy
Hello everyone, I am Dr Archana Prabhu. I am an Obstetrician and gynaecologist, practicing in MUmbai. Today I will like to discuss about Thyroid Problems.

What is Thyroid?

Thyroid is a small endrocrine gland situated in front of the sound box, in the middle of the neck.

Why is it so important?

The importance of thyroid gland is that it controls our metabolism. It controls the heart rate, skin thickness, texture. It controls our brain, mood, nervous systems, hair and so many other things are controlled by Thyroid. Any thing goes wrong with thyroid. If secretion becomes more, we call it as hyperthyroidism or if secretion become less, we call it as hypothyroidism. THere are problems, out of these problems, 75% of the problems are Hypothyroidism. THat means the secretion through thyroid glands are sub normal. So, I would like to discuss Hypothyroidism.

What happens in Hypothyroidism and how do we come to know that we are suffering from this problem?

Usual problems are;

Excessive weight gain
Sudden weight gain
Swelling in the feet or legs
Depression
Irritation
Lethargic
Constipation
Dry skin problem
Hair loss
Difficulty in conceoption
Menstrual issues
What happens when patient's thyroid levels are not under control or they are Hypothyroid during pregnancy?

In this case, th baby at its very early stage are exposed to the level of hypothyroidism. There are chances of abortion. In case the pregnancy continues, the baby may develop many complications like, at birth, this baby might be having growth issues i.e, growth retardation.

This baby may have jaundice.
This baby may develop short stretcher
Poor growth
Cardiac issues
The very important part here is that mental development of the baby gets affacted by thyroid level. It has been seen when the baby is exposed to low secretion thyroid level in the early months, they develop mental retardation or low IQ.

I dont think that any of the mother would liek to have this kind of baby, that too because of the small thing which she could have checked and be treated and could easily escape from such a complications. Now, they are certain problems which can go really wrong with the mother also if she has hypothyroidism and the levels are not under control. LIke the blood pressure, she may get into preeclampsia. The mother who is suffering from Hypothyroidism are at risk of developing some kind of cardiac problems.

So, friends the important point here is to check thyroid level in your early month of pregnancy. There are levels which are T3, T4 and TSH. Check thema nd if they are shwoing any kind of abnormality, the tablet is started immediately. It is a very small tablet can be taken anytime empty stomach. Throughout the pregnnacy, every 4-6 weeks we have to keep checking thyroid levels and according to pregnancy month, the levels of thyroid are different for the three trimesters.

We have to keep the levels in that particular level. So the dose adjustment and regular checkup are really important. THis can control teh complications and can save the baby and the mother.

If you need any other information, you can contact me through Lybrate.

Thank you.

Play video
Thyroid Diseases During Pregnancy
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.
Play video
Symptoms and Causes of Thyroid
Lybrate - Dr. Anirban Biswas talks about Thyroid Problems

Hello friends, I am Dr. Anirban Biswas. I am practicing diabetologist in Fortis C-Doc Hospital in New Delhi.

Today I am going to discuss with you about thyroid disease as you know thyroid disease is very common these days and most of the patients when they check their TSH is high, doctors suddenly declare that they have hypothyroidism. Now basically you have to understand what is thyroid disease? Thyroid is a disease which is a cause of a poor functioning of thyroid glands. It is a butterfly shaped organ which is located in our throat, basic function of a thyroid gland is to produce thyroid hormone and when thyroid hormone is deficient it is known as hypothyroidism. Basically the T4 and T3 are the active thyroid hormones.

TSH is a thyroid stimulating hormones which is not secreted by the thyroid gland but it is secreted by the pituitary gland. In response to the lesser secretion of thyroid, it is a feedback mechanism which is developed in our body. So whenever a patient has hypothyroidism, T3 and T4 levels are low or normal. TSH is high and it is compensating for the lack of the thyroid hormones. So this stage is known as sub-clinical hypothyroidism. And the symptoms of sub-clinical hypothyroidism is that patients may have sudden weight gain, patient may feel weak, lethargic, dryness of skin, patients may have other difficulty in managing their memory, routine activities, issues with their sexual and hormonal problems as well, heat and cold intolerance may also be there. So all these things are very common with thyroid patients, most of the patients come with the problem of weight and usually thyroid patients improve after substituting the thyroid hormone which is in the form of tablets.

Now a days, once a weekly tablets are also available for thyroid. Many of the doctors and patients don t know but I have started once weekly which has a very good response and better come plans and I recommend the patients to take once weekly. Management of thyroid is easy but dose has to be titrated with frequent checkup of the thyroid function. And I am organizing thyroid checkup camps in my clinic on regular basis. The other problem of thyroid is hyperthyroidism which is the reverse of the hypothyroidism and in this, thyroid gland secretes the excessive thyroid hormone which causes the reverse action like weight loss, increases basal metabolism rate, eyes may start to protrude. These are the symptoms of hyperthyroidism. For this also, treatment is available.

Other things we should be careful about is that if we are having thyroid problem then we should avoid having too much of soya product and few vegetables like cabbage, cauliflower and broccoli and we should take our medicine regularly.
If you have any queries regarding thyroid, you can please contact me through Lybrate.
Thank you.


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How Does Thyroid Disease Affect Your Body?
I m Dr. C.M.Batra. I m consultant senior consultant endocrinologist at Indraprastha Apollo Hospital New Delhi.

I will be talking to you today about thyroid disorders. What is thyroid disorders? The thyroid gland is in the center of the neck. It is a middle line structure and it is over line the windpipe or the trachea, on the esophagus i.e. the food pipe. And its function is to produce hormones i.e. T3 and T4. And due to this whore production of hormones or underproduction of hormones i.e. the hormones being less or hormones being more, they are disorders.

The thyroid gland itself can become a large without any hormonal disorder and thus produce problems also. So let me talk to you first about disorders caused by enlargement of thyroid gland itself. The thyroid gland can become very big and compress the windpipe i.e. the trachea and the food pipe i.e. the esophagus and thereby it causing problems. The problems will be shortness of breath, difficulty in eating and this will be increased at night, because when the patient lies down it increases.

And the treatment is very simple just you have to remove the thyroid gland which is obstructing or which is causing the problems. The thyroid gland can function more than it should be or less than it should. And if it adds its function more it is called thyrotoxicosis i.e. it produces more hormone than it should. In that case the person will have weight loss, will feel very uncomfortable, will have palpitation, will have tremors, will be having bulging eyes, might have a thyroid gland enlargement which we called Goitre.

This will how do you diagnose a person with thyrotoxicosis or having excess of thyroid hormone, simple blood test is a trick. The blood test is named free T3 T4 and TSH. And the thyroid scan and radioactive iodine uptake is another test. If you have these two tests you can make the diagnosis of the thyrotoxicosis. Once you made the diagnosis what you do? You start treating it with tablets, they are called neomercazole or methimazole and the other options available are radioiodine and you can even operate the enlarged thyroid and get rid of the excess thyroid hormones.

In person thyroid gland functions less is called hypothyroidism in which the person becomes slow sluggish easily fatigue exhausted, has slow pulse rate, skin becomes dry, the thyroid gland can become enlarge i.e. the goiter can happen and how do you make a diagnosis? A simple blood test T3 will be or T4 will be low TSH will be high. The treatment is simple i.e. the thyroxin tablet can be given and that within three to four weeks the patient becomes alright. But these tablets have to continue throughout life in most cases.

The next disorder of thyroid is thyroiditis in which it is a simple inflammation or swelling of the thyroid gland that causes pain in the thyroid region or the neck region that can cause thyrotoxicosis or excess of thyroid hormone or decreased in thyroid hormones called hypothyroidism and the treatment is usually simple. You don t have to do anything except just give analgesics and some drugs and mostly the thyroid disease disappear itself. If you are having problems of this type with the thyroid gland you are most welcome to visit me at Indraprastha Apollo Hospital or my clinic, Sarita Vihar.
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Lifestyle Changes For Living Better With Diabetes And Thyroid
Hi,

I am dietician Rashmi Sharma from Faridabad, I am handling thyroid, BP and diabetic patients and the obesity.

Basically, thyroid, BP and sugar all these problems are Lifestyle problem and these problems are always because of the eating habits, exercise and your lifestyle. The stress is the major reason for all these things. In a thyroid, the person is basically have metabolism disorders in their body, metabolism related like if they eat food they can't able to digest it and some other symptoms are also there like swelling is there, mood swings and many other things are there. According to person Lifestyle these symptoms are there, some person hypothyroidism specially they have more ways and those who are in Hypothyroidism and they have less weight they have some kind of their lifestyle problems. We have diet patterns, we provide diet patterns, the timings of their diet, some kind of meditation procedures are also available like what kind of procedures you can avail to heal your thyroid and even the person get ready rid of medicines also. Like most of the cases we have gone through which have got very good balance of their thyroid and they get rid of their medicines also. We have some procedures also, processes like cryolipolysis, laser and Ultra these procedures helps you to reduce anxious and the weight also and with inches and weight counselling you can maintain your weight and your pattern. Secondly, sugar diabetes, diabetes are basically also lifestyles problem or if the person is having fattening in their pancreas, they also suffer from the sugar. So for pancreas fat percentage, they have to reduce their fat eating foods which are heavy in their fat patterns like they must avoid maida and they introduced high beans and sprouts also which help them to reduce the fat percentage. In Diabetic, the person should introduce themselves to most of the exercise pattern, if the person is unable to do the exercise they must reduce first their fat percentage then introduced muscles also. How they include the muscle in their body? It is all about how you can avail your diet, in a diet beans-whole beans those who are vegetarian they can go for the whole beans they can go for the sprouts and those who are non-vegetarian they must take thrice chicken, chicken leg piece twice in as a meal replacement and every person have their own kind of a lifestyle, so they have their problems also because of their wrong eating habits and the wrong lifestyles. So in a first or second stage, you must first go through diet pattern then with the exercise and then the type of your lifestyle. It doesn't mean you should not have any kind of a fried foods, fried foods you can have a thyroid person also, BP person also and diabetic person also. But they also need some kind of a guidance and further guidance they must go for a once in a month or once in a three months for any Counsellor, we can help them to maintain their pattern as well. Second thing is the technological basis, technological basically for those who are unable to control these levels. These Technologies help them to maintain by reducing the organelle fat and by maintaining the fat percentage in their body. Second muscle improvement, how they can improve their muscles? Muscles improved by the diet or by reducing their fat percentage or exercise. Some people have low muscle mass like 17, 19 or 20. The muscle percentage can improve by eating patterns, the timings of their eating patterns and the type of food they are choosing. For vegetarian person they can go for the beans, whole beans and for nutritional basis like Tofu and Paneer and milk content and those who are lactose intolerance they must avoid milk and milk products they can use beans, sprouts then milk products. And first, they have to reduce the fat percentage then they can improve the muscle, without reducing their organelle fat and fat they can't improve their muscles as well. So they need a proper counselling for that and for thyroid patients and for BP patients they must take care of the vitamin C level also. That can help them to reduce the water retention and retain the sodium balance as well.

Thank you.
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