Best Thyroid Treatment in Delhi - Dr Hemi Soneja
The thyroid gland is a butterfly-shaped gland situated in the front of the neck in front of the windpipe or trachea and releases thyroxine hormone, which controls metabolism in the body. It is said to be butterfly-shaped as the middle part is small, and the two sides look like wings that extend around the throat's side. The thyroid helps in producing hormones that control the vital functions of the body. Usually, the body releases the right amount of hormone. Still, when this balance is disturbed, that creates problems, and it becomes necessary to seek possibly the best thyroid treatment in Delhi and that too on time.
The thyroid is a brownish color gland present in the trachea, which is rich in blood vessels. The thyroid helps in secreting various hormones, which are collectively called thyroid hormones. The main hormone that is secreted by the thyroid gland is thyroxine, which is also known as T4. Thyroid hormones help control the body's metabolism, prevent growth and development and body temperature. In infants and the growth years of the child, an adequate thyroid is important for brain development. Consult for the best thyroid treatment in Delhi so they can treat your thyroid disease.
What Does the Thyroid Do?
The thyroid, a small butterfly-shaped gland situated in the neck, plays a crucial role in maintaining overall health. Acting like a thermostat, the thyroid regulates the body's metabolism by producing hormones—primarily thyroxine (T4) and triiodothyronine (T3). These hormones influence vital functions such as heart rate, energy production, and body temperature. Essentially, the thyroid ensures a harmonious balance in the body's intricate systems.
Who is Affected by Thyroid Disease?
Thyroid diseases can affect individuals of all ages, genders, and backgrounds. While women, especially those over 60, are more prone to thyroid conditions, men and individuals of any age can also be impacted. Factors contributing to thyroid disease include genetics, autoimmune disorders, and iodine deficiency.
Common Thyroid Conditions Include:
Fatigue, weight gain, cold sensitivity
Insufficient thyroid hormone production
Weight loss, rapid heartbeat, heat intolerance
Excessive thyroid hormone production
Autoimmune Thyroid Disorders (e.g., Hashimoto's and Graves' disease)
Varied, affecting multiple body systems
Immune system dysfunction targeting the thyroid
Often asymptomatic, may cause difficulty swallowing or breathing
Abnormal growths on the thyroid gland
Note- Thyroid conditions are manageable with appropriate medical care. Treatment may involve medication to balance hormone levels, radioactive iodine therapy, or, in some cases, surgery. Regular monitoring and communication with healthcare professionals are key to effective management.
For those affected by or concerned about thyroid health, seeking advice from a healthcare provider is essential. Understanding the intricacies of the thyroid and its potential challenges empowers individuals to make informed decisions about their well-being.
Causes of thyroid
There are two types of thyroid; one is hypothyroidism and hyperthyroidism. Hypothyroidism is a condition in which the crucial hormones from the thyroid gland are not produced enough. With the help of accurate tests, hypothyroidism is diagnosed. You can consult the thyroid doctor for the best thyroid treatment in Delhi.
The other one is hyperthyroidism, which means the thyroid glands produce too much T3 and T4 hormones. Diagnosis of hyperthyroidism and treatment of its symptoms can help in reducing complications that are caused by hyperthyroidism.
Here are the causes of hypothyroidism:-
Autoimmune disorder: Autoimmune disorder is one of the common causes of hypothyroidism. The autoimmune condition known as Hashimoto's thyroiditis can be the reason for hypothyroidism. An autoimmune disease occurs when your body's immune system produces antibodies and attacks its tissues. Sometimes these antibodies attack the thyroid gland, which lowers the hormone production required for crucial function in the body.
Over response to hyperthyroidism treatment- Too much production of hormones from the thyroid gland leads to hyperthyroidism. It is usually treated with antithyroid medicine or radioactive iodine. The main role or function of this medicine is to get the thyroid function back to normal. However, sometimes these medicines backfire, and it leads to hypothyroidism.
Surgery of Thyroid: Surgery of a large portion of the thyroid gland can halt hormone production or diminish hormone production. In this case, the patient may require hormone injection for life.
Medications: Some medicines can lead to hypothyroidism. A drug that treats psychiatric disorders like lithium can lower the production of hormones from the thyroid gland.
Here are the causes of hyperthyroidism:-
Grave's disease: Grave's disease is an autoimmune disorder. In this condition, the thyroid gland becomes overactive and produces too much thyroxine hormone. In this, the thyroid gland gets enlarged. It is also called a diffuse toxic goiter.
Nodules: The thyroid gland has nodules. When these nodules become overactive, it produces an excess of thyroid hormone. When a single nodule causes the disruption, it is called a toxic autonomous thyroid nodule.
Thyroiditis: Thyroiditis is a disorder that can be either not felt at all or can be very painful. In thyroiditis, the hormones released by the thyroid gland can be stored there. It lasts for a few weeks or even goes longer for months.
Excessive iodine: Excess iodine in the body can lead to hyperthyroidism. When your body has much more iodine than it requires, then the thyroid secretes more hormone; this excessive production of the hormone is the cause of hyperthyroidism.
Symptoms of thyroid disease
The thyroid does have a lot of symptoms that you can experience if you have thyroid. Symptoms of thyroid are similar to growth stages of life and other medical conditions. You might get similar symptoms for other medical conditions, so it is better to visit the thyroid doctor for the best thyroid treatment in Delhi.
The symptoms of thyroid can be divided into two distinct groups. One is for hyperthyroidism, and the other is hypothyroidism.
The symptoms of hyperthyroidism are:-
- Experiencing nervousness, anxiety, irritability. - Hyperthyroidism, which means excessive secretion of hormones from the thyroid gland, can lead to disruption of sleep, nervousness, and anxiety
- Enlarged thyroid gland or goiter - In hyperthyroidism, the size of adam’s apple increases.
- Irregular periods. - In women, the symptom of hyperthyroidism can be irregular menstrual cycles like a short or light menstrual cycle.
- Eye irritation or eye problems like vision problems - Puffy eyes or vision fluctuation can be a sign of thyroid.
- Other common symptoms are diarrhea, hair loss, muscle or tremor weakness, and increased sensitivity to heat.
The symptoms of hypothyroidism are:-
- Hair- Loss - Hair loss or thinning of hair can be a sign of hypothyroidism.
- Feeling tired - It is one of the most common symptoms of hypothyroidism. The thyroid is your body that controls energy balance, so you always feel ready to work. When the hormone levels are low, you will feel exhausted.
- Weight gain - When your body feels tired, it tends to have rest. This low energy and metabolism switch tends to store fat and calories in the body. It can lead to unexpected weight gain.
- Dry skin or itchy skin - The low growth hormone can affect the skin renewal process. The more aged skin breaks fastly while the new skin takes time to regrow. The accumulation of dead skin leads to dry skin.
- Constipation - Hypothyroidism can affect your bowel movements. According to a study, 17% of people are affected with constipation when they have a low secretion of hormones from the thyroid gland.
Types of Thyroid
1.Under-active thyroid or Hypothyroidism - Decreased hormone production of thyroxine leads to hypothyroidism. It can be for several reasons, including Iodine deficiency, inflammation in the thyroid gland, or autoimmune disorders. It can also be because of surgery on the thyroid or radiation treatment for other reasons on the neck and thyroid area. Pituitary gland disorders can also lead to problems with an underactive thyroid. Thyroid Treatment in Delhi typically involves thyroxine hormone replacement. Thyroid hormone replacement is free from side effects and well-tolerated. The dose required is different for different individuals at other points of time, and it, therefore, involves monitoring from time to time. If managed well, an underactive thyroid is an easy medical problem to control and does not cause long term problems. Suppose not addressed timely or thyroid treatment recommendations are not followed. In that case, uncontrolled hypothyroidism can lead to other medical problems like Obesity, High BP, High Cholesterol, pregnancy problems, Diabetes, PCOS, skin problems, fatigue, etc.
2.OVERACTIVE THYROID or HYPERTHYROIDISM -If the thyroid gland produces more than the required amount of thyroid hormone, it is called hyperthyroidism. It can be because of various reasons like an autoimmune disorder, viral infection, overproducing nodules, etc. Depending on the cause of hyperthyroidism, the duration of symptoms or disease may last for a few weeks to few years to decades. Thyroid Treatment in Delhi is dependent on the cause of it. Thyroid doctors can treat it with anti-thyroid medications, which suppress the hormone production from the thyroid, or Radioiodine treatment (this again suppresses the thyroid hormone production), or surgery (partial or total thyroidectomy).
3.SUBCLINICAL HYPOTHYROIDISM - According to the best endocrinologist in Delhi, It is a very common medical problem which we encounter. The TSH levels are above the upper limit of normal but below ten, and the active hormone levels of free T4 and free T3 are normal. These are essentially borderline TSH levels - depending on various factors, including age, gender, physiological stage, other concurrent medical problems, we decide if somebody needs thyroid hormone replacement for this or not. Not everybody who has these borderline levels needs to be started on supplements.
4.GESTATIONAL HYPOTHYROIDISM - or Pregnancy-associated Hypothyroidism again is a common medical problem. Thyroid hormone is required for the normal growth of the growing baby. It’s only after 16 weeks of pregnancy that the ever-increasing baby starts to make its thyroid hormone; before that, it depends entirely on the mother's thyroid hormone for its adequate growth and development. Therefore, we have a different cut off for “Normal” levels of thyroid hormone in pregnancy. Thus, at times women would be advised thyroid hormone replacement during pregnancy. If the thyroid is treated on a timely basis, pregnancy goes smoothly, just like any other pregnancy.
Another problem which people come across is Thyroid nodules. Nodules are small lumps in the thyroid gland which might vary in size from a few mm to a few cm in length. Most thyroid nodules are benign (or noncancerous), but some of them can be cancerous. These are typically diagnosed on ultrasound and might require an FNAC (fine needle aspiration) to analyze the nodule’s nature. Most cancers of the thyroid are very amenable to treatment and respond well. So if you feel any lump or nodule in the front of your neck, you should not ignore that and get it checked by the thyroid doctor.
Parathyroid Gland & Disorders
Parathyroid glands are four small glands located right next to the thyroid gland in the neck - two on each side. Although their name is “Parathyroid,” their functioning is not related to the thyroid gland. The effect of Parathormone, which is released from these glands, is unrelated to the thyroid gland or thyroid hormone. Parathormone or PTH regulates calcium and Vitamin D metabolism in the body. Its levels are affected by many different factors, including Vitamin D levels, kidney function, calcium and phosphorus levels in the body. There can be problems due to over-functioning nodules or adenoma in the Parathyroid gland, which can cause high PTH levels and, as a result, cause excess calcium levels in the body leading to bone problems, kidney stones, psychiatric problems, body aches, and pains, etc. The treatment for abnormal parathyroid hormone levels needs a thorough evaluation by combining various blood tests, ultrasound, and nuclear medicine scans depending on the suspected cause. For the most part, addressing the cause of increased PTH levels helps treat the problem. At times, in cases of parathyroid hyperplasia or adenoma, or cancer, one might need surgery.
Effects of Thyroid or Thyroid Disease
The effects of thyroid or thyroid disease refer to the medical conditions that prevent the thyroid gland from producing the correct amount of hormones. The specific effects of thyroid, thyroid disorders, or thyroid diseases are as listed below.
Hypothyroidism occurs when the thyroid gland is not able to produce a sufficient amount of thyroid hormones which is referred to as the underactive thyroid gland. It might develop from problems within the thyroid gland, pituitary gland, or hypothalamus.
Some common symptoms of hypothyroidism include the following.
- Fatigue or feeling of tiredness
- Lack of concentration, and forgetfulness
- Weight gain
- Joint and muscle aches
- Dry and rough skin as well as hair
- Intolerance to cold temperatures
- Frequent and heavy periods in women
- Voice becoming hoarse
Common causes of hypothyroidism are mentioned below.
- Thyroiditis, a condition where the thyroid gland swells up or is inflamed, thereby lowering the amount of hormone production
- Hashimoto’s thyroiditis, an autoimmune condition in which the cells of the body attacks the thyroid gland and damages it
- Deficiency of iodine in the body prevents the thyroid gland from producing sufficient hormones
It is a condition where the thyroid gland produces an excess amount of hormones and is referred to as an overactive thyroid gland. The affected individuals should go for an immediate thyroid treatment without any delay to avoid further complications.
Some common symptoms of hyperthyroidism include the following.
- Having trouble to sleep
- Experiencing nervousness, irritability, and anxiety
- Weight loss
- Tremors and muscle weakness
- Intolerance to heat
- Irregular periods or stop of periods in women
- Problems with vision or irritation in the eye
- Enlarging of the thyroid gland
Common causes of hyperthyroidism are mentioned below.
- Grave’s disease, a condition where the entire thyroid gland is overactive and produces an excessive amount of hormones
- Thyroid nodules that are overactive within the thyroid cause production of excess hormones. A single nodule is referred to as a toxic autonomously functioning thyroid nodule and a gland with many nodules is referred to as a toxic multi-nodular goiter
- Excessive iodine in the body propels the thyroid gland to make more hormones than the body needs
Goiter is described as the condition of an enlarged thyroid irrespective of the cause and is not disease-specific. It might be associated with hypothyroidism, hyperthyroidism, or even normal thyroid functioning.
Thyroid nodules are referred to as lumps or abnormal masses within the thyroid gland. They might be caused by benign cysts or tumors. Thyroid nodules might be single or multiple and can vary in their size. If the size is too large, the nodules might cause other symptoms related to the compression of the structure nearby.
As can be understood from the name, Thyroid cancer is referred to as cancer in the thyroid gland and is more common in women than men. There are different types of thyroid cancer depending on the specific type of cell within the thyroid gland that becomes cancerous.
Now, the effects of thyroid can be clearly understood and any individuals noticing any symptoms should immediately consult a healthcare expert to opt for the thyroid treatment as per requirements.
Thyroid Disorders Diagnoses
At the time when you go for thyroid treatment specifically in Delhi, the thyroid doctors carry out a few procedures for appropriate diagnosis of thyroid disorders. The diagnosis procedures include the following.
Blood tests are definitive ways of diagnosing thyroid since they are able to correctly tell about the proper functioning of the thyroid gland by measuring the amount of thyroid hormones in the blood. The specific blood tests include the following.
- Thyroid stimulating hormone (TSH) – It is to check for an imbalance of thyroid hormones in the body.
- Thyroxine (T4) – It is to check hyperthyroidism and hypothyroidism. Low T4 indicate hypothyroidism and high T4 indicate hyperthyroidism
- Free T4, or free thyroxine (FT4) – It is a test to measure T4 that eliminates the effect of proteins that bind T4 naturally and prevents accurate measurement
- Triiodothyronine (T3) – Test to diagnose hyperthyroidism and its severity
- Free T3, or free triiodothyronine (FT3) – It is a test to measure T3 that eliminates the effect of proteins that bind T3 naturally and prevents accurate measurement
Additional blood tests include the following.
- Thyroid antibodies – These tests are helpful in identifying the different types of autoimmune thyroid conditions
- Calcitonin – It is used to diagnose rare thyroid disorders namely C-cell hyperplasia and medullary thyroid cancer
- Thyroglobulin – It is used for diagnosing inflammation of the thyroid gland or thyroiditis and also for monitoring thyroid cancer
When you go for the best thyroid treatment in Delhi, the thyroid doctors conduct imaging tests majorly an ultrasound to get a clear picture of the thyroid gland to diagnose the disorders.
It is a quick way to check the thyroid gland by feeling the neck area for any kind of enlargement of the thyroid gland or formation of any lumps to get an idea of any disorders.
Treatment of Thyroid Disorders
The best thyroid treatment in Delhi is a combination of different medicines and surgery as per requirements. The treatment options are as follows.
Treatment for hyperthyroidism
- Use of antithyroid drugs like propylthiouracil and methimazole for stopping the thyroid gland from making the thyroid hormones in excess.
- Radioactive iodine is used to damage the cells of the thyroid gland, thereby preventing it from making high levels of thyroid hormones.
- Beta-blockers are helpful in controlling the symptoms of hyperthyroidism but they do not change the amount of hormones in the body.
- The surgical removal of the thyroid gland is a more permanent form of treatment but this would completely stop the formation of thyroid hormones. Hence, thyroid replacement hormones become mandatory for the patient undergoing the surgery for the rest of the life.
Treatment for Hypothyroidism
- In the case of hypothyroidism, thyroid replacement medications are used to add the thyroid hormones to balance the requirements of the body. With the help of these medications, thyroid disease can be controlled to lead a normal life.
If you are looking forward to getting the best thyroid treatment in Delhi, no other option would be as good as Dr. Hemi Soneja. At Dr. Hemi Soneja’s thyroid clinic, every patient can be assured of getting the best diagnosis, and premium quality treatment. If you are diagnosed with any thyroid disorders and need help in controlling the symptoms appropriately to ensure that you lead a normal life, pay a visit to Dr. Hemi Soneja’s thyroid clinic for the most appropriate solutions.
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Thyroid diseases can last for months, years or they can be for a lifetime. Treatment of hypothyroid or hyperthyroid in delhi can help in the reduction of symptoms and other complications caused by it.
Frequently Asked Questions
Thyroid disorders can manifest in various ways. Common symptoms include fatigue, weight changes, hair loss, irregular periods, and sensitivity to temperature. However, symptoms can vary between hypothyroidism and hyperthyroidism.
Diagnosis involves blood tests to measure thyroid hormone levels (TSH, T3, T4), imaging tests like ultrasound, and sometimes physical examinations. Your healthcare provider may also check for antibodies and other markers to identify autoimmune conditions.
Hypothyroidism can result from factors like autoimmune disorders (Hashimoto's thyroiditis), iodine deficiency, and certain medications. Hyperthyroidism may be caused by Grave's disease, thyroid nodules, excessive iodine, or over-response to hyperthyroidism treatment.
Treatment varies based on the type of thyroid disorder. Hypothyroidism is typically managed with thyroid hormone replacement medications. Hyperthyroidism may involve medications, radioactive iodine therapy, or surgery to regulate hormone levels.
No, most thyroid nodules are benign (noncancerous). However, a thorough evaluation, including ultrasound and fine needle aspiration, is necessary to determine their nature. Thyroid cancer, while more common in women, can be effectively treated if detected early.
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American Board of Family Medicine & Obesity Medicine Senior Consultant in Diabetes & Obesity Medicine
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