Frequently Asked Questions (FAQs) on myxoedema-hypothyroidism | HospitalKhoj

MYXOEDEMA (Hypothyroidism)

MYXOEDEMA (Hypothyroidism)

Ques. 1  What is Myxoedema?

Ans.       It is a diseased condition occurring in adults, marked by a thickening of sub-cutaneous tissue. It may occur endemically or sporadically.

Causes: Sex-commonly female, Age-mostly middle age.

  1. Prolonged iodine therapy.
  2. Idiopathic thyroid fibrosis.
  3. Hashimoto’s disease.
  4. Simmond’s disease.

Ques. 2  What is the Pathology of Myxoedema?

Ans.       The thyroid is small and hard with replacement of fibrosis. There is a protein infiltration of skin and sub-cutaneous tissue :- mucous membranes of the nasopharynx, mouth and ear also in larynx and oesophagus. Coronary blood vessels are sometimes atheromatous and heart is dilated. Testes/ovaries atrophy.

Ques.

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Ques. 3  What are the symptoms and signs of Myxoedema?

Ans.       Symptoms –

  • Dryness and roughness of skin.
  • Pain in muscles and joints, clumsy gait, rheumatism.
    • Constipation or obstipation.
  • Dyspnoea, orthopnoea, dizziness.
  • Menometrorrhagia, may be amenorrhoea or sterility or habitual abortion.
  • Polyuria with nocturia.
  • Slowness of thought, loss of memory, drowsiness, hallucination.
  • Sometimes obese inspite of diminished appetite.
  • Headache, deafness, decreased visual acuity, ataxia, convulsion, facial neuralgia and coma.
  • Weakness and lethargy.
  • Low temperature, always require covering, prefer warm weather and room.
  • Pallor of skin.
  • Vertigo, tinnitus impaired hearing, chronic hoarseness or sinusitis.
  • Signs :

  • Skin thick, rough, dry and scaly on extremities.
  • Moderate obesity, non-pitting oedema.
  • Teeth may decay rapidly.
  • Thyroid usually small and hard to palpate.
  • Heat sounds slow (40 to 60 p.m.), distant, muffled.
  • Hypotension in early stage ; hypertension may develop later.
  • Diminished deep tendon reflexes.
  • Puffy features, ‘apple-blossom’ cheeks.
  • Slow speech with leathery, deep, hollow tones.
  • Hair dry, sometimes baldness.
  • Body temperature low (95°F).
  • Ques. 4  How can we Diagnose Myxoedema?

    Ans.       Diagnosis:

  • Butonol extractable iodine-low.
  • Serum cholesterol level-high.
  • Urinary 17-ketosteroids-usually low.
  • Glucose tolerance test-curve tends to be low & flat.
  • E.C.G.-bradycardia.
  • B.M.R. – low.
  • Serum protein-bound jodine-low.
  • Radioactive iodine uptake-low.
  • Differential:

  • Coronary infarction and insufficiency.
  • Pituitary myxoedema.
  • Chronic nephritis.
  • Treatment:

  • Thyroxine-Initial dose 0.25 mg. daily gradually increased to minimum maintenance dose.
  • Laevo-thyroxine sodium (Eltroxin) – Initial does 0.05 mg. daily, gradually increased to minimum maintenance dose.
  • Ventilatory assistance and steroid may be given.
  • Treatment is to be continued all throughout life.
  • Symptomatic treatment.
  • Homoeopathic remedies.
  • THYROIDINUM – Weakness. Easy fatigue, tendency to fainting, palpitation, cold bands and feet, low blood pressure, chilliness and sensitive to cold, weak pulse.

    .
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    Comments

    0 # Aayush Older than three months
    Can gonorrhoea be caused by the infected towels, also provide the list of good gynecologist in ?
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    0 # Dr. Naresh Older than three months
    Gonorrhoea can be transmitted by the infected towels, handkerchiefs of the infected person, But most cases are due to sexual contacts, find here list of good Gynecologist in .
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    0 # Vivaan Older than three months
    Hello, I am from Chickballapur, PLz suggest some biochemic remedies for gonorrhoea .
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    0 # Dr. Pooja Older than three months
    Kali Mur, Natrum Mur, Natrum Sulph, and silicea are few important biochemic emedies in homoeopathy which can be used safely in this case, you can also take advise from gynecologist given here-Gynecologist in Chickballapur.
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    0 # Aarav Older than three months
    Hello I am from Deoria, My neighbour has been feeling redness and burning in urethral organs, can it be a disease, should she visit gynec?
    Reply | Reply with quote | Quote
    0 # Dr. Naresh Older than three months
    It can be a simple infection also and a disease also, If after the examination, the presence of gram negative bacteria is seen ,gonorrhoea infection can be thought of, she should visit good women's specialist- find list of Gynecologist in Deoria
    Reply | Reply with quote | Quote
    0 # Tushar Older than three months
    Hii, I am from Samastipur, can you plz tell me What is the mode of infection in syphilis ?
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    0 # Dr. Pooja Older than three months
    90 percent cases in syphilis are transmitted through unsafe sexual contacts, Mothers can also pass infection through breast milk, you can also consult with good Gynecologist in Samastipur .
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    0 # Harikiran Older than three months
    Hello, plz let me know What is menarche, I want to consult with gynec in Virudhunagar, plz suggest ?
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    0 # Dr. Pooja Older than three months
    the process of starting of the menstrual cycle in females is called menarche, plz find good Gynecologist in Virudhunagar.
    Reply | Reply with quote | Quote
    0 # Rohan Older than three months
    Hello, plz tell me what are venereal diseases, can you plz suggest some good gynecologist in Arwal ?
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    0 # Dr. Pooja Older than three months
    veneral diseases are those which can be spread through sexual contact, The spreading agents can bacteria ,viruses etc, The examples are syphilis and gonorrhoea can be can spread by sexual contact, you can also find list of Gynecologist in Arwal.
    Reply | Reply with quote | Quote
    0 # Vaibhav Older than three months
    Hii, I am from , I want to know can cigerrete sharing can lead to syphilis ?
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    0 # Dr. Naresh Older than three months
    yes,sharing cigerette,drinking cups,common spoons etc can also lead to syphilis, Generally whenever the fluid of a person who has syphilis is shared,the infection can occur, you should also consult with good Gynecologist in
    Reply | Reply with quote | Quote
    0 # Aayush Older than three months
    Hii, can you plz tell me,What changes can occur in skin in syphilis patient, also suggest good obstertrician in Kokrajhar ?
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    0 # Dr. Pooja Older than three months
    Rashes can occur on the skin in the near areas,rashes can be discrete and also symmetrical in nature, Rashes can also be pustular, you can consult with Obstetrician in Kokrajhar.
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    0 # Priyansh Older than three months
    Hii, plz tell me,Which tests can confirm syphilis in primary stage, also suggest name of good maternity hospitals in Koraput ?
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    0 # Dr. Naresh Older than three months
    During the primary stage,DG illumination tests are very helpful, find good maternity hospitals-Glocal Hospital, Jeypore. GHSPL Jeypore Healthcare LLP.
    Reply | Reply with quote | Quote
    0 # Vaibhav Older than three months
    Hello, plz tell me what are venereal diseases, can you plz suggest some good gynecologist in Dibang Valley ?
    Reply | Reply with quote | Quote
    0 # Dr. Pooja Older than three months
    veneral diseases are those which can be spread through sexual contact, The spreading agents can bacteria ,viruses etc, The examples are syphilis and gonorrhoea can be can spread by sexual contact, you can also find list of Gynecologist in Dibang Valley.
    Reply | Reply with quote | Quote
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