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Thyroid and weight gain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2582 Questions
Doctor :   Hi
User :   Hello Doctor
Doctor :   How can I help you?
User :   I am XXX
User :   I have thyroid problem
Doctor :   Ok
User :   adn i am taking eltroxin daily
Doctor :   Ok
User :   now my weight has been increased more
User :   i am 78kgs
Doctor :   Ok
User :   and height is 156
User :   i feel its more weight
User :   i want your opinion
User :   what can i do further
Doctor :   May I know your age XXX?
User :   23
Doctor :   Ok
Doctor :   According to you statistics, (weight and height), your BMI falls at 32, which comes under the category of obese.
User :   ok
Doctor :   This probably has to do with your medical illness - Hypothyroidism.
User :   what should i do for reducing the weight
User :   yes
User :   i am very much worried for this weight increase
Doctor :   Hence you need both control of your thyroid problems and life style modifications to help you reduce your weight.
User :   can u please guide me
Doctor :   Since you have thyroid issues, recheck your TSH levels, if you have not done it, in the recent past.
Doctor :   If the levels are not stabilised, you will have to modify the dose of the medications that you presently are on.
User :   i planned to do the test by tomorrow
User :   and also the lipids test
User :   currently i am taking 1 and half tablets
User :   100 mg
Doctor :   Keeping the thyroid hormones in the euthyroid levels are very much essential, if you are planning to keep your weight under control.
Doctor :   The dose has to be titrated against the TSH levels.
Doctor :   Hence I suggest you to get it done.
User :   sure i shall get the test tomrrow
User :   what food i can take
Doctor :   2. Though you have a medical cause for over weight,
Doctor :   weight gain will not happen unless you supplement it with the food/calories you take.
User :   ok
Doctor :   Hence life style changes is equally important.
User :   wht type of foods i can take
Doctor :   By life style modification, I mean both physical exercise and dietary changes.
User :   ok
Doctor :   Since your first interest is diet, I shall start of briefing about it.
User :   ok sir
Doctor :   Diet requirements depend on the calorie requirement that you need per day.
Doctor :   May I know about your occupation?
User :   i am a XXX
Doctor :   On an average a sedenatary worker need 1800 kcal of energy per day, and a moderate worker will need 2000kcal of energy per day.
User :   okay
Doctor :   I feel that you belong to the first category, if you do not involve in physical exercise.
Doctor :   So calculate the calories you take if possible and keep just under the requirement range.
Doctor :   If that is not possible, then in general follow this simple steps.
User :   i am not sure how to calculate the calories
Doctor :   1. Reduce high fat diets.
User :   okay sir
Doctor :   That includes oiled food, too much of nonvegetarian diet.
User :   ok sir
User :   even i am drinking plenty of water
Doctor :   2. Restrict the carbohydrate consumptions,
User :   like rice
User :   am i right
Doctor :   that is use of extra sugar in your drinks, just simple rice (use of wheat along with rice is fine)
Doctor :   Snacks, junk foods and so on.
User :   ok
Doctor :   Avoid diary products such as butter, cheese, ghee and so on.
User :   ok
Doctor :   They contain too high calorie and fat.
User :   ok
User :   and i have another query to ask with you
Doctor :   Apart from this use of vegetables and fruits are recommended.
User :   ok
Doctor :   This are few general tips that i can suggest.
User :   ok
User :   i have another question
Doctor :   You can get a complete diet chat planned by an nutritionist as per your calorie requirement.
User :   ok
Doctor :   Along with it, include physical exercise too.
User :   ok
User :   i have another question
Doctor :   Proceed.
User :   this is somewhat personal
User :   i read in a book that person who have thyroid problem will have poor reproductive organs
User :   is that true
Doctor :   Chronic medical conditions if not kept under control can affect other organ system too.
User :   ok
Doctor :   And thyroid problems also are in this category.
User :   i have slight pain in one testacles
Doctor :   If your hormone levels are not kept under control, it can affect the reproductive system to a varying extent.
User :   ok
Doctor :   Since when are you experiencing this pain?
User :   few days back
Doctor :   Do you have any problem while passing urine?
User :   i feel shy to consult doctor
User :   no
Doctor :   Do you have fever?
User :   no
Doctor :   Can you describe the nature of the pain?
User :   the right side ball is somewhat big.. i feel like its swallon
User :   and i get pain some times
Doctor :   Ok
Doctor :   Are your symptoms now, the same as it was a few days back?
User :   when i wear tight pant
User :   or drive veichle i get this pain
User :   yes
User :   anything serious because of thsi
Doctor :   Is the pain noticed when you wear tight pain or while you drive or they are present through out the day?
User :   no
Doctor :   Ok
User :   soem times i feel more time
Doctor :   Let me brief you.
User :   and one more think i want to tell you
User :   i will mastrubate
Doctor :   Ok
User :   any wrong in that
Doctor :   The pain that you are experiencing is probably due to inflammation.
User :   means
Doctor :   This may not be related to the thyroid issues you have.
User :   ok
User :   anything serious
Doctor :   Its can occur due to minor trauma, over exertion while masturbation or rarely due to infection.
Doctor :   By infection, I mean by an urinary tract infection.
User :   what can i do for that
Doctor :   They are not a serious concern and usually fade away after a few days.
User :   ok
Doctor :   You may take simple analgesics such as Ibuprofen 200mg when the pain is severe.
Doctor :   Apart from this drink plenty of water.
User :   will there be any problem for masturbation
User :   ok
Doctor :   3. Avoid using tight pants.
User :   ok
Doctor :   4. Preferably avoid masturbation, till the pain reduces.
User :   ok
User :   will masturbation cause infertility
Doctor :   Masturbation on it self does not cause any problems and definitely not infertility.
User :   ok
Doctor :   As long as you do not injure yourself by any means and by severe exertion.
Doctor :   It does not cause any problems.
User :   i cant understand
User :   teh last point
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any query?
User :   i am going to get married in one or two years
User :   i have some fer because of this only
Doctor :   Ok
Doctor :   I suggest you to get the thyroid hormones under check.
User :   i feel like my cock size is small..
User :   ok
Doctor :   You can also get a sperm count done.
User :   how to do this test
Doctor :   Any size between 3 inch to 7 inches (erect state) is normal.
Doctor :   Hi
Doctor :   Are you there?
User :   hi
User :   yes
User :   While Normal without erect state
Doctor :   Yes, the size of the penis is not an important criteria for a successful sexual life.
User :   ok sir
Doctor :   If the size of penis is more that 3 to 3 and half inches when in the erect state,
Doctor :   most men with this size are able to have a good sexual life.
User :   ok sir
Doctor :   So you need not bother of the penis size if its more than it.
User :   ok sir
Doctor :   Get your weight under control, keep the thyroid in the euthyroid state by means of regular medications and regular follow up with your endocrinologist and follow with good and healthy diet with physical exercise,
User :   ok sir
Doctor :   you should not have any problems with sexual life too.
User :   ok
User :   any medicine for that
Doctor :   Can you specify for what?
User :   for reducing weight
User :   and also the testacle size is big
Doctor :   There are few antipsychotic medications that are given to help reduce the hunger and subsequently for weight loss, but I would not recommend those to you.
User :   ok
User :   ok sir
Doctor :   I would suggest you to get your thyroid levels checked, follow up with physical exercise and dietary modifications, you should be losing weight with that.
User :   ok
Doctor :   This may take some time probably 3 to 5 months but, weight loss will happen.
User :   ok
Doctor :   The medications are the last resort as they have lot of side effects.
User :   any chance for getting the height increased
Doctor :   For the testicular problems, I had discussed earlier during the chat.
Doctor :   Any way, I shall repeat it again.
User :   ok
Doctor :   1. Use simple analgesics such as ibuprofen 200 mg while in severe pain.
Doctor :   2. Drink plenty of water
User :   ok
User :   ok
Doctor :   3. Avoid tight pants
Doctor :   4 . Restrict masturbation till your pain reduces.
User :   ok
User :   will there be any problem for i masturbate daily
User :   or any problemin that
Doctor :   5. If the pain persists inspite of these measure, I would suggest you to consult an urologist for evaluation.
User :   ok
Doctor :   Masturbation as such do not have any problems either with your physical health or sexual life.
User :   ok
Doctor :   However sex experts recommend you to do only on time of sexual desire.
Doctor :   You can keep your self occupied with other activities if you feel like masturbating every day.
User :   so ihave to do once in a week
Doctor :   Soon you will know to control your every day desires.
Doctor :   Its not time specific.
User :   ok
Doctor :   You can practice it, when you have a strong sexual desire.
User :   ok sir
User :   and one more doubt
Doctor :   But to restrict it doing everyday, though you will not have any problem if you do it everyday.
User :   ok sir
Doctor :   Please proceed with your query.
User :   once i tried using condoms... but its very loose for me
Doctor :   Condom is an elastic product and fits adequately to the penis if you follow the instructions given for usage properly.
User :   no sir ... i got one condon but its loos for me
Doctor :   As long as you do not have a major problem such as erectile dysfunctions or hypoplastic or if the condom was a defective one, problems while wearing it occurs rarely.
User :   ok
User :   erectile dysfunctions or hypoplastic what that this mean
Doctor :   Condoms fit adequately to an erect penis, and its worn when the penis is erect.
User :   ok
User :   what condoms i can get ...
Doctor :   Erectile dysfunction refers to a condition when the penis is unable to get erected or its unable to sustain the erection till the completion of sexual activity.
User :   ok
Doctor :   All brands in the market are equally good.
Doctor :   So its your personal choice,
User :   any recomondations
Doctor :   which ever you feel comfortable, you can use them.
Doctor :   No recommendation, just make sure the seal is not broken.
User :   ok
Doctor :   Do you have any other query?
User :   you can suggest any gone one right
Doctor :   Can you rephrase you last sentence?
User :   you can suggest a goon one right
User :   sorry
User :   Good one
Doctor :   I do not have enough information about the different condom brands or the best of them.
User :   ok
Doctor :   Any condom which can fit properly, and does not break during sexual intercourse is a good one.
Doctor :   Do you have any other query?
User :   ok
User :   last query
User :   i have hair fall
User :   any medicine for reducing it
Doctor :   Approximately how much hair are you losing per day?
Doctor :   And since when?
User :   few days
User :   i shifted places and also water changes
User :   so i get air loss at head
Doctor :   Approximately how much hair are you losing per day?
User :   few
User :   after head bath when i comb hair that time
Doctor :   Its normal to lose hair.
Doctor :   If the hair fall does not exceed more than 100 hairs per day, its
Doctor :   considered normal.
User :   i feel like have balled head at the top of teh head
User :   some of my friends said
Doctor :   So if your hair fall is only small amount you need not worry about it.
User :   ok
Doctor :   However, I shall provide you with some information on hair fall.
Doctor :   Hair fall can occur due to genetic factors such as transmission through family,
Doctor :   apart from this other factors such as stress, dandruff, hypothyroidism, reduced nutritional state and so on can all cause hair fall.
Doctor :   So i suggest you to get your thyroid hormones assessed.
Doctor :   apart from this other measures are
Doctor :   1. Proper nutrition in the form of plenty of vegetables and fruits.
Doctor :   2. Multivitamin pill
User :   ok sir
Doctor :   3. Liver oil pills
User :   means
Doctor :   4. Reducing anxiety.
Doctor :   Cod liver oil are available at some pharmacy, you can use them if available.
Doctor :   5. Avoiding means of hair fall like combing with wet hair, and few hair products.
Doctor :   6. Antidandruff shampoos.
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