Hindustan Times (Delhi)

Thyroid patients be on guard as mercury rises

WATCH OUT Doctors say soaking up sunlight daily will help

- Rhythma Kaul rhythma.kaul@hindustant­imes.com

NEW DELHI: People with hypothyroi­dism need to change the dosage of medicine as the weather gets warmer. Since the butterfly-shaped thyroid gland in the neck is just below the skin’s surface, it is sensitive to changes in weather, making people with thyroid disorders lethargic in the winter months.

“The thyroid and the pituitary glands work together as a heater and a thermostat respective­ly,” explained Dr BR Das, president research and innovation, molecular pathology and clinical research service, SRL Diagnostic­s.

“When the thyroid gland shuts off and the body gets cold, the pituitary - the thermostat­produces more of thyroid stimulatin­g hormone, or TSH. As long as the thyroid is functionin­g properly, it will respond to the pituitary’s release of TSH and produce more of its own hormones, known as T4, to heat up the body,” he adds.

There is a joint effect of thyroid and cold as far as the human body is concerned. “It is primarily due to non-compliance, not taking medicines properly, lack of physical activity and eating unhealthy food,” added Dr Anoop Misra, director and head, department of diabetes and metabolic diseases, Fortis Group of Hospitals.

TSH tends to rise in cold weather and one may require increase in the medicine dosage. High TSH levels indicate hypothyroi­dism and low TSH levels indicate hyperthyro­idism.

If a person is diagnosed with thyroid problem, it is important to follow the doctor’s instructio­ns thoroughly. If left untreated, thyroid problems can lead to stroke, heart disease, infertilit­y, Alzheimer’s and even death.

“People with thyroid disorders should work at having a healthy weight. And since the WARNING SIGNS OF A SLUGGISH THYROID

Fatigue Unexplaine­d weight gain

Dry skin Puffy face Hoarseness

body requires lower levels of the hormone in the summer months, they should get their hormone levels checked at least once during the summer and winter months,” says Misra.

The normal TSH range is 0.3 to 4.5 mIU/L. Levels below or above this range require more in-depth tests and evaluation of symptoms.

After the age of 35, one should ideally get screened for thyroid dysfunctio­n once every five years. If you exhibit any of the symptoms or risk factors mentioned above, then you should get yourself screened more often.

Among the things that help are exercise and soaking up the sun for half an hour every day. There’s evidence that exposure to sunlight affects both the brain’s chemistry and the endocrine system, which regulate hormones. Even if you don’t suffer from a seasonal

Constipati­on Sensitivit­y to cold

affective disorder, 20 to 30 minutes a day of direct sunlight exposure helps ward off fatigue and depression.

What also works is a diet rich in iodine and low in sugar. Eating foods rich in nutrients — like iodine found in iodised salt, green-leafy vegetables, garlic and sesame — is highly recommende­d. Food items like fish, meat, mushrooms, sunflower seeds and soybeans can fulfill your selenium requiremen­t.

Also get enough sleep. A typical adult without thyroid problem needs seven hours of sleep. A number of thyroid patients need more. During winters, they may need a little more than the standard resting time, while in summer, less sleep may be needed to feel rested.

Lastly, protect yourself from the flu and other infections, as these may aggravate the condition.

 ??  ?? After the age of 35, one should ideally get screened for thyroid dysfunctio­n once every five years. SONU MEHTA/HT
After the age of 35, one should ideally get screened for thyroid dysfunctio­n once every five years. SONU MEHTA/HT

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