Welcome to EndocrinologyNepal

Endocrinology is a branch of internal medicine which deals with disorders related to hormonal imbalance. It includes not only diabetes and thyroid disorders but also deals with various diseases like hypogonadism, erectile dysfunction, infertility, hirsutism, gynecomastia, PCOS, pubertal disorders, obesity, short stature, tall stature, pituitary disorders, Cushing's syndrome, Pheochromocytoma, parathyroid disorders and metabolic bone diseases.

Endocrinology भनेको हर्मोन को गडबडीबाट हुने रोग सम्बन्धि क्षेत्र हो I हर्मोनको गडबडीका कारण निम्न समस्याहरु हुन सक्छन :
१. मधुमेह (Diabetes)
२. सुगर कम हुने रोग (Hypoglycemia)
३. थाईराइद रोग (Thyroid disorders)
४. महिनाबारीमा गडबड र निसन्तान (Infertility)
५. महिलाहरुको शरीरमा धेरै रौँ उम्रने (Hirsutism)
६. स्तनबाट दुध चुहिने (Galactorrhea)
७. पुरुषहरुमा स्तन बढ्ने (Gynaecomastia)
८. शरीरको उच्चाई नबढी पुड्को हुने (Short stature) वा धेरै अग्लो हुने (Tall Stature)
९. लिङ्ग वा अन्दकोश सानो हुने (Hypogonadism)
१०. यौन इच्छामा कमि आउने वा सम्भोग गर्न गार्हो हुने (Erectile Dysfunction)
११. यौबन अवस्था चांडो देखिने (Precocious puberty) वा ढिलो गरि देखिने (Delayed puberty)
१२. हड्डी बारम्बार टुट्ने , हड्डी बंगिने (Rickets), हड्डी सुन्निन्ने वा हड्डी खिइने (Osteoporosis)
१३. शरीरको मोटोपना बढ्ने(Obesity)
१४. बारम्बार मिर्गौलाको पत्थरी हुने(Kidney stones)
१५. सानो उमेरमा नै रक्तचाप बढ्ने वा रक्तचाप अचानक बढेर टाउको दुख्ने , बान्ता हुने र पसिना आउने
१६. लिङ्ग निर्धारण गर्न गार्हो हुने (Disorders of sexual development)

About Dr Ansu Mali Joshi

My photo
Kathmandu, Nepal
I am an endocrinologist, practising at Kathmandu, Nepal. I did my DM Endocrinology from the prestigious All India Institute of Medical sciences, New Delhi in 2011. DM Endocrinology is a 3 year superspecialized degree which is done after doing 3 years of MD Internal Medicine. Currently I work at KATHMANDU DIABETES & THYROID CENTER PVT LTD (01-5521969).

Sunday, March 4, 2012

Are you Vitamin D Deficient?


-Vitamin D is not only a vitamin, but its a hormone.
-Vitamin D helps the body absorb calcium.Along with calcium, it is vital for strong, healthy bones.
-We normally get vitamin D through exposure to sunlight.
-However, many people still do not get enough of this important hormone.
-Though India is a sunny country, 80-90% of the indian population are vitamin D deficient according to the studies.
-Use of sunscreen or sun avoidance lowers the skin’s production of vitamin D.

1.What health problems does low vitamin D cause? 
-Vitamin D deficiency can lead to a loss of bone density (size and strength), broken bones (fractures), muscle
 weakness, and the bone-thinning disease osteoporosis.

-Severe vitamin D deficiency can cause rickets in children and osteomalacia in adults.

-Both problems cause soft, weak bones, as well as pain in the bones and muscles.

-Some studies show that a lack of vitamin D may raise the risk of some cancers and certain other health problems.

2.What are the risk factors  for vitamin D deficiency?
-Elderly
-Pregnant and lactating women
-Those who rarely go out in the sun
-Those who use sunscreens
-Dark skin
-Those on certain medications like anti-tubercular drugs, antiseizure drugs, steroids etc
-Obesity (vitamin D can get “trapped” in body fat)
-Chronic (long-term) kidney or liver diseases
-Malabsorption (inability to absorb nutrients in the intestines)
-Hyperparathyroidism
-Sarcoidosis, tuberculosis, histoplasmosis
-Some lymphomas, a type of cancer

3.How is vitamin D deficiency found?
-The best way for doctors to measure how much vitamin D is in your body is with a blood test called the serum 25-hydroxy-vitamin D test.

4 comments:

  1. Great one..
    What should be the line of management of hypocalcemia and osteoporosis associated with vit. D deficiency? How to supplement vitamin D in a deficient patient?

    ReplyDelete
  2. Thanks.I would treat vitamin D deficiency first before starting treatment for osteoporosis (if BP/teriparatide is indicated).In 18yr+ age group, D2 or D3 50,000 IU once weekly for 8 weeks followed by 1500-2000 IU per day should be given. I don't prefer injectable vitamin D unless there are compelling indications.

    ReplyDelete
  3. Good initiative Ansu........Hope it will helps all general people in Nepal...

    ReplyDelete
  4. Thanks, I would treat thyroid & diabities by you. i hope, you advised me a good.

    ReplyDelete

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