Thyroid disorders are on the rise as reported by various surveys and research studies. There are various myths and concerns related to thyroid disorders which must be dealt with judiciously. On this World Thyroid Day, Vivid Homeopathy presents its latest article on Thyroid Disorders under PHHA series of articles.
Dr Saurav Arora has a rich experience of more than 11 years being a medical homeopath and independent researcher. Dr Arora has served various key positions in Ministry of AYUSH, Govt. of India; Ministry of Defence, India; Govt. of NCT of Delhi etc. Dr Arora’s profile and achievements may be seen at www.sauravarora.com
Dr Bharti Arora is a medical homeopath committed to promoting homeopathy for the benefit of individual and health care system. Dr Bharti has been awarded Silver medal for meritorious position in BHMS. For more info visit www.arorasclinic.com/bhartiarora/
Thyroid disorders can be best understood when we know “thyroid gland” functions. There may be
In addition, the clinical presentation of each condition can be presented in more than one form.
There are several theories and phenomenon which are responsible for the development and progression of the thyroid disorders. In the simpler form we can understand it like this:
The thyroid disorders can be easily diagnosed as follows:
biochemical diagnosis of thyroid
FT3: Free T3; FT4: Free T4; aTPOab: anti-TPO antibodies
This is usually the most common question encountered in clinical practice. Is it
Various authorities have proposed “normal” ranges for serum TSH. In an epidemiological study done in an Indian population, it was found that mean TSH value in the reference population was 2.2 ±0.9 mIU/L (n=1916 healthy volunteers).
The symptomatology depends upon the condition with which a patient is suffering. For example, in Hypothyroidism the common symptoms may be:
In hyperthyroidism, due to increased metabolism, there may be:
While in cases of goitre or nodule there may be no or minimal symptoms.
Q: The report shows normal T3 T4, but TSH is in hundreds.
A: Counsel the patient that TSH is ultrasensitive; therefore, it must be repeated before any conclusion is made!
Q: What if T4 and TSH both are low?
A: The case may be of Central Hypothyroidism.
Q: What would be the effect of family history on thyroid status of the child?
A: Children who have a positive history of thyroid disorders must be screened regularly, as they have increased chances of developing the disease.
Q: Should anti-TPO antibodies be repeated too often?
A: They are more of prognostic value than diagnostic. It is observed that antibody positive population has more chances to go into hypothyroidism. In such cases, TSH still remains the best screening and follow up test.
Q: What is the role of T3 and T4?
A: T3 is biologically active and T4 is a biological stable hormone. In the body, T4 is converted to T3 and used up by cells.
Q: What is LT4?
A: In the conventional system of medicine the deficiency of T4 is replaced by Levo-Thyroxine (LT4) which commonly comes with many brand names – Eltroxin, Thyrox, Thyroff, Synthyroid etc.
Q: Can I change my LT4 dosage on my own?
A: No, the dosage of LT4 depends upon many factors, and not only body weight or TSH levels. Therefore, to regulate the dosage of LT4 you need to visit your treating physician.
Q: Can I taper off the medicine?
A: Yes in many cases the medicines can be tapered off, but that doesn’t happen in every case. The medicines must be tapered off gradually in consultation with your treating physician. During this process, the health is assessed from the mental, physical and social point of view.
The management goal for thyroid disorders depends upon the correct diagnosis, however, broadly, they can be summarized as:
Educate: The thyroid education is of vital importance. Many a time people are treated for the diagnosis they never had. Yes, it is true. In the majority of the cases, due to lack of knowledge and misdiagnosis, the treatment modalities tend to fail.
Treat – Manage: Every thyroid disorder can’t be cured but every thyroid disorder can be managed. The treat – manage balance must be understood by the physician as well as patients. Patients must be educated and counselled about the possibility of being treated and managed.
The treatment must aim at holistic normalcy and not only “good” reports.
Screen: The most important aspect always remains alertness. The more alert an individual is, easier things can go. Early detected thyroid disorders tend to manage early then untreated and complex, chronic cases. Screening must be done whenever there is any suspicion or indication. Nowadays thyroid screening tests such as TSH are within reach of any strata of the patient.
Follow up: Follow up under guidance is a must!
Don’t Ignore: A very important point is the alertness for one’s own health. Thyroid disorders are not stand alone diseases in the body. Sometimes there is an association with other diseases or co-morbid symptoms are a matter of concern. Therefore, every deviation from health must be reported to your treated physician.
“Access to a good healthcare is a fundamental right of everyone.”
Time and again there is a debate between individualized and specific medications in thyroid disorders! Specifics too have a role to play especially when homeopathy is used as add-on or cases where we taper off the conventional medicines.
Treatment of Thyroid disorders is a matter of special concern in:
This article does not intend to replace the in-person consultation. The facts are for general purpose and public awareness only, and must not be taken as Medical Consultation in any form. For a consultation, treatment and specific queries, you need to contact your healthcare professional.
Not for Medico-legal purposes.
© Vivid Homeopathy & Arora’s Homeopathic Clinic 2018.
For reprint and collaborations please contact Dr Saurav Arora at email@example.com