Know your Thyroid - by Hinduja Hospital
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Know your Thyroid
Dr. Roshani SanghaniMBBS (Bom), Diplomate of American Board in
Internal Medicine, Endocrinoloogy, Diabetes and Metabolism
Consultant Endocrinology
Hinduja Hospital Webinar Series A Health Awareness Initiative
Did you know?
Q: I am losing weight…is it my thyroid?
A: Only some people with weight loss have a thyroid problem
FACT!!For thyroid problems to cause weight loss the
TSH needs to be much lower than normal
TSH MUCH LOWER THAN
NORMAL= OVERACTIVE
THYROID
Overactive=HYPER Thyroid
Overactive=HYPER thyroid
• Weight loss• Nervousness, poor
sleep• Hands shaking• Heart pounding
• Feel very hot• Frequent stools• Light menstrual periods
Hyperthyroid: Testing
1. TSH2. Free T43. Nuclear uptake and scan Tc99
4. TSH receptor antibody
Hyperthyroid: Treatment1. Block thyroid hormone
• Carbimazole/steroids
2. Destroy thyroid gland• Radioactive Iodine
3. Surgical removal of gland• Total/Partial Thyroidectomy
Hyperthyroid: Treatment
FACT!!!For thyroid problems to cause weight gain the
TSH needs to be MUCH higher than normal
Q: I am gaining weight…is it my thyroid?
A: Most people with weight gain do NOT have a thyroid problem
Did you know?
TSH MUCH HIGHER
THAN NORMAL=
UNDERACTIVE THYROID
Underactive=HYPO Thyroid
Underactive=HYPO thyroid
• Weight gain• Fatigue/drowsiness• Low energy• Constipation
• Dry skin• Feeling very cold• Heavy menstrual
periods
Hypothyroid: Testing
1. TSH2. Free T43. TPO/Microsomal Antibody
Thyroid Nodules/Goiter: Testing
1. TSH2. Thyroid/neck ultrasound3. Fine needle aspiration biopsy (FNAC)
1. Wait & Watch • TSH • Ultrasound
2. Surgical removal if cancer/suspicious
Thyroid nodules/Goiter: TreatmentThyroid Nodules/Goiter: Treatment
For further queries write to us at: [email protected] view previous webinars – Register for our Webcastshttp://www.hindujahospital.com/communityportal/webinar/
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