HYPOTHYROIDISM AND HOMEOPATHIC MANAGEMENT

                                                                       HYPOTHYROIDISM

The condition characterized by under section of the thyroid hormones  i.e. t3 and t4 levels are in normal and increased level of thyroids stimulating hormones level. In adults, the condition manifests most commonly as “myxoedema”.

                     The term myxoedema literally signifies a non-pitting type of oedema due to deposition of mucous like material underneath the skin.

                    Hypothyroidism in children is either congenital or acquired. The congenital type known as cretinism occurs in infants.The acquired type known as juvenile myxoedema occurs in grown up children.

Aetiology:-

                   This is usually due to acquired causes. It is more common in middle aged women approaching menopause.

A.      Primary atrophy of the thyroid  gland.

B.      Auto immune disorder.

C.      Atrophy secondary to other diseases of the thyroid.

D.      Atrophy secondary to pituitary or hypothalamic disease.

E.       Stress.

F.       Iodine deficiency.

Symptoms:-

              There is 3 types of symptoms they are a. mental,b.physical,c.metabolic symptoms.

A.      A. Mental symptoms:-

-          Loss of memory, patient  is mentally dull and depressed.

-          Delusions and hallucinations.

-          Irritability.

B.      Physical symptoms:-

-          The patient feels unusually tired and weak.

-          Slowness of all physical activities.

-          The voice is slow,monotonus and husky. In an advanced case,the voice may be hoarse and croaky.Hoarseness is partly due to enlargement of the tongue and swelling of the lips.

-          Vague pain in muscles and joints particularly the knee joints,may be stiff and swollen.

C.      Metabolic symptoms:-

-          The BMR is reduced to about 30%.

-          Constipation and anorexia (loss of appetite).

-          Unusually sensitive to cold and remain in warm places.

-          Increased in weight due to the presence of non-pitting oedema.

-          Menstrual abnormalities (irregular).particularly menorrhagia(menu – lot so many times).

        -      Infertility occurs as a rule and impotency in males .

        -      Hair fall on eyebrows and scalp.

Examination:-

       The face is broad and looks bloated with puffy eyelids, thick lips and broad nose. The skin is rough, dry and lusterless. Hair is thin, brittle tends to fall out especially on eye brows. The patient looks pale due to anaemia.

       A non-pitting oedema is present in legs and hands. Patient have short and broad neck, the pulse is slow.

Investigations:-

      The level of T4 is low and that of TSH is raised confirms hypothyroidism.

-          In doubtful cases thyroid function test should done.

         Treatment:-

           The treatment consists of substitution theraphy with L-thyroxine. In the event of over dose case, the patient complaints of palpitation, sweating,diarrhea and pain  in heart.

          Diet to avoid:-

-          Raddish.spanish,cauliflower and cabbage.

-          Avoid coffee, smoking.

          Homeopathic treatment:-

                   Homeopathy has very good acting medicines on hypothyroidism condition.

                                   Natrum muraticum.

                                    Iodum.

                                  Thyroidinum.

                                  Calcarea iod.

                                  Calcarea carb.

                                  Calc phos.

                                  Lycopus.

.                                Kali carb.