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, December 16, 2012

What Is an Endocrinologist?

What is the endocrine system?
The endocrine system is a complex group of glands. Glands are organs that make hormones. These are substances that help to control activities in your body. Different types of hormones control reproduction, metabolism (food burning and waste elimination), and growth and development. Hormones also control the way you respond to your surroundings, and they help to provide the proper amount of energy and nutrition your body needs to function. The glands that make up the endocrine system include the thyroid, parathyroid, pancreas, ovaries, testes, adrenal, pituitary and hypothalamus.
What is an endocrinologist?
An endocrinologist is a specially trained doctor. Endocrinologists diagnose diseases that affect your glands. They know how to treat conditions that are often complex and involve many systems within your body. Your primary care doctor refers you to an endocrinologist when you have a problem with your endocrine system.
What do endocrinologists do?
Endocrinologists are trained to diagnose and treat hormone imbalances and problems by helping to restore the normal balance of hormones in your system. They take care of many conditions including:

  • diabetes
  • thyroid diseases
  • metabolic disorders
  • over- or underproduction of hormones
  • menopause
  • osteoporosis
  • hypertension
  • cholesterol (lipid) disorders
  • infertility
  • lack of growth (short stature)
  • cancers of the endocrine glands

Endocrinologists also conduct basic research to learn the way glands work, and clinical research to learn the best methods to treat patients with a hormone imbalance. Through research, endocrinologists develop new drugs and treatments for hormone problems.
What type of medical training do endocrinologists receive?
Endocrinologists finish four years of medical school and then spend three or four years in an internship and residency program. These specialty programs cover internal medicine, pediatrics, or obstetrics and gynecology. They spend two or three more years learning how to diagnose and treat hormone conditions. Overall, an endocrinologist's training will take more than 10 years.
What are the most common endocrine diseases and disorders?
Diseases and disorders of the endocrine system can be grouped into several different areas. Some endocrinologists focus on one or two endocrine system diseases, such as diabetes, pediatric disorders, thyroid, or reproductive and menstrual disorders. Others work in all areas of endocrinology. The major areas of endocrinology are described below.
Diabetes
Patients with diabetes have too much sugar in their blood. Recent studies have found that controlling blood sugar helps prevent serious problems that can be caused by diabetes. These can include problems with the eyes, kidneys and nerves, which can lead to blindness, dialysis, or amputation. Endocrinologists treat diabetes with diet and medications, including insulin. They also work closely with patients to control blood sugar and monitor them so they can prevent health problems.
Thyroid
Patients with thyroid conditions often have problems with their energy levels. They may also have problems with muscle strength, emotions, weight control, and tolerating heat or cold. Endocrinologists treat patients with too much or too little thyroid hormone (conditions respectively caused by either an overactive or underactive thyroid). They help patients reach a hormone balance by replacing or blocking thyroid hormone. Endocrinologists also receive special training to manage patients with thyroid nodules or thyroid cancer, and enlarged thyroid glands.
Bone
Osteomalacia (rickets), which causes bones to soften, and osteoporosis are bone diseases that endocrinologists diagnose and treat. Osteoporosis is a disease that weakens your skeleton. Certain hormones act to protect bone tissue. When hormone levels are abnormal, bones can lose calcium and weaken. Menopause, in women, and loss of testicle function, in men, and aging may put you at risk for bone fractures. Endocrinologists treat other disorders that can affect bones, such as too much parathyroid hormone and long term use of steroids like prednisone.
Reproduction/Infertility
About one in ten American couples is infertile. Endocrine research has helped thousands of couples to have children. Endocrinologists diagnose and treat hormone imbalances that can cause infertility, and also assess and treat patients with reproductive problems. They work with patients who need hormone replacement. Problems treated by endocrinologists specializing in reproductive endocrinology include menopause symptoms, irregular periods, endometriosis, polycystic ovary syndrome (PCOS), premenstrual syndrome, and impotence.
Obesity and Overweight
Endocrinologists treat patients who are overweight or obese, sometimes because of metabolic and hormonal problems. Someone who is obese has too much body fat. Thyroid, adrenal, ovarian, and pituitary disorders can cause obesity. Endocrinologists also identify factors linked with obesity, such as insulin resistance and genetic problems.
Pituitary Gland
The pituitary is often called the master gland of the body because it controls other glands. The pituitary makes several important hormones. Over - or underproduction of pituitary hormones can cause a hormone imbalance that can lead to infertility, menstrual disorders, growth disorders (acromegaly or short stature) and too much cortisol production (Cushing's syndrome). Endocrinologists control these conditions with medications and refer patients who need surgery.
Growth
Children and adults can have effects from not making enough growth hormone. Pediatric endocrinologists treat children who suffer from endocrine problems that cause short stature and other growth disorders. Adults with growth hormone deficiency can experience emotional distress and fatigue. Safe and effective growth hormone replacement therapy is available for people with growth hormone imbalance.
Hypertension
Hypertension is high blood pressure, and it is a risk factor for heart disease. Up to 10% of people have hypertension because of too much aldosterone, a hormone produced in the adrenal glands. About half of these cases are caused by growths that can be removed with surgery. Conditions such as the metabolic syndrome or a rare adrenal growth called a pheochromocytoma also may cause a hormone imbalance that leads to hypertension. These conditions also can be treated successfully.
Lipid Disorders
Patients with lipid disorders have trouble maintaining normal levels of body fats. One of the most common lipid disorders is hyperlipidemia - high levels of total cholesterol, low-density lipoprotein cholesterol (known as "bad" cholesterol), and/or triglycerides in the blood. High levels of these fats are linked to heart (coronary) disease, strokes, and peripheral vascular disease (problems with circulation in the legs). Endocrinologists are trained to detect factors that may be related to lipid disorders, such as hypothyroidism (a hormone imbalance caused by thyroid conditions), drug use (such as steroids), or genetic or metabolic conditions. Lipid disorders can be found in several conditions that require special management, including metabolic syndrome, polycystic ovary syndrome (PCOS), and obesity. Special diets, exercise, and medications may be prescribed to manage hyperlipidemia and other lipid disorders.

Hormone Health Network

17 comments:

  1. Hi, Just wanted to quickly know if you also perform Hormone Replacement Therapies for Male to Female Transsexuals. Urgent.

    ReplyDelete

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  5. Chakrapath branch is opening soon I have heard that plz give me location and contact no..

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  8. hlo i am a transgender
    and i want male to female hormone therepy..yo subida 6 vane

    reply my gmail id rth.humagain@gmail.com

    ReplyDelete



  9. Kokilaben Hospital is urgently in need of A+, B+, O+,kidney donors for the sum of $290,000.00 USD, We are located in Indian, USA, Malaysia,Turkey. If you are interested in selling your kidney’s please kindly

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  11. Hi doctor I think I have pcos as I have noticed increase in facial hair growth and in overall body parts.should I see endocrinologist or gynaecologist?

    ReplyDelete
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  13. Sir here is my thyroid profile. T3 126.2. T4 7.8 and THS IS 6.890 WHICH IS HIGH ACCORDING TO LAB RESULT. SIR DOCTOR DID NOT PRESCRIBED ME ANY MEDICINE after seeing the report but i feel discomfort at the backside of my neck. Sir should i take medicine or not.

    ReplyDelete
  14. I want to know if you are paediatric endocrinologist? Can I find paediatric endocrinologist in kathmandu?

    ReplyDelete
  15. Yes I have been trained in pediatric endocrinology and i manage all types of pediatric endocrine disorders.

    ReplyDelete
  16. I think I have a bit more female hermone in me than it should be in men due to which I have fat storage,height growth issues and gynocomastia
    How do I fix this please email me at zenish77@gmail.com

    ReplyDelete

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