Hypothyroidism

Hypothyroid patient should consult endocrinologist regularly. Thyroid diseases are more common in ladies. T3,T4 levels are low & TSH levels are high.
. Thyroid hormone monitoring ( T3,T4,TSH) should be done at 6 month intervals or as advised by endocrinologist.
. Use iodized salt. Foods fortified with iodine are also available
. Hypothyroidism is more likely to occur in a person if his / her parents / siblings have hypothyroidism
Hypothyroid patient has cold intolerance. So the patient should have adequate warm clothes for winter.
He is more likely to have lipid abnormalities ( hyperlipidemia / dislipidemia/ hypercholesterolemia) & obesity which is a risk factor for heart disease. He also gets constipation. So he has to be more careful about diet. He should avoid certain goitrogenic substances ( like cassava)in diet. Tab. Eltroxin has to be taken regularly.
Hypothyroidism in children ( congenital hypothyroidism ) is called as cretinism. In such cases, parents have to be extra careful about Rx as brain development( intelligence) can get affected & child appears sluggish, mentally retarded. Intelligence quotient level is low. Mental retardation is seen

Read -
Causes and Rx of hypothyroidism

Thyroid disease

Thyroid disease - Goitre (neck swelling) -Causes, symptoms & treatment

Causes and treatment of Constipation

Ischemic Heart Disease

What is Ischemic Heart Disease?
Blood flow to the heart is reduced
. Factors reducing coronary blood flow include:
1. Decreased aortic diastolic pressure
2. Increased intraventricular pressure and myocardial contraction
3. Coronary artery stenosis, which can be further subdivided into the following etiologies:
o Fixed coronary stenosis
o Acute plaque change (rupture, hemorrhage)
o Coronary artery thrombosis
o Vasoconstriction
4. Aortic valve stenosis and regurgitation
5. Increased right atrial pressure
Blood flow to the heart can be further decreased by superimposed events such as vasospasm, thrombosis or circulatory changes leading to hypoperfusion. Coronary artery perfusion depends upon the pressure differential between the ostia (aortic diastolic pressure) and coronary sinus (right atrial pressure). Coronary blood flow is reduced during systole because of Venturi effects at the coronary orifices and compression of intramuscular arteries during ventricular contraction
Extra cholesterol is a major risk factor for atherosclerosis & cardiac disease. Total cholesterol should be < 225. atherosclerosis causes narrowing of blood vessel walls. Tummy fat in men & excess hip, thigh fat in women not only affects cosmetic appearance but increases risk of heart disease too.
Dietary precautions & lifestyle changes to get protection against heart disease
. Avoid excess salt. Foods like papad, pickle contain excess salt.
. Avoid excess red meat, eggs, chicken, dairy products
. Red wine in moderate amounts gives protection against heart disease
Remember that heart disease affects one's sex life badly as it affects stamina & erectile function. Heart disease indicates dysfunction at the level of blood vessels which occurs at penis blood vessels leading to poor blood supply to penis

Red wine & heart disease

Red wine decreased the likelihood of death among the obese. So moderate amount of wine drinking is acceptable & beneficial to heart. It reduces risk of atherosclerosis & reduces chances of heart attacks. This should be controlled as excess alcohol is harmful to liver & leads to addiction ( alcohol abuse).

Treatment of heart disease and Hyperthyroidism

Antihypertensive Drugs will act 1 month after starting.

Read -
Treatment of heart disease and Hyperthyroidism
Lipids Enemy of health