The Department of Endocrinology provides fast access to a comprehensive assessment of endocrine disorders, including thyroid disorders, parathyroid disorders, adrenal disorders, polycystic ovaries and menstrual irregularity, lipid disorders, obesity and metabolic syndrome, resistant hypertension, osteoporosis, metabolic bone diseases, hypogonadism, erectile dysfunction, infertility, growth hormone deficiency, pituitary tumours and neuroendocrine tumours. Supplementary laboratory facilities for a sensitive thyroid hormone assay and antibody studies complement our Thyroid services.
Osteoporosis is very common among the postmenopausal women and those taking steroidal medications for arthritis, obstructive airway disease and other medical conditions. Osteoporosis when unrecognized and left untreated may lead to debilitating consequences including vertebral and hip fractures. The morbidity and mortality due to these complications almost equal that of cardiovascular diseases. Also, vitamin D deficiency and osteomalacia are very common in India and many other parts of the world.
A comprehensive evaluation and treatment for metabolic bone diseases is available at KIMS. We routinely do Vitamin D, parathyroid hormone assays, NTx and other parameters pertaining to bone mineral metabolism, which help in the detection of metabolic bone diseases. We have also evaluated and successfully cured many persons with parathyroid hormone excess by medical and surgical treatments. The ready availability of the latest bone densitometry service helps us in early detection and successful treatment of deforming conditions like Osteoporosis, Metabolic Bone Disease and Parathyroid Disorders.
Obesity is fast increasing in prevalence among both adults and children. Obesity in long term can lead to many diseases including heart attacks, diabetes, osteoarthritis, obstructive sleep apnoea, uncontrolled blood pressure elevation and even some cancers. Obesity may be due to several reasons including genetic disorders, hormonal disorders and excess calorie intake coupled with a sedentary life. A combination of diet restriction, daily exercise and medications are effective in many persons. However, those who have severe obesity will require surgical procedures including gastric banding (bariatric surgery). Bariatric surgery may also almost cure diabetes in these obese persons.
Patients with persistent hypertension despite multiple medications are at high risk for adverse cardiovascular events and are more likely than those with controlled hypertension to have a secondary (ie, identifiable) cause, which is usually at least in part reversible.
Excess aldosterone level may be caused by enlarged adrenal gland or by a small discrete tumour in adrenal gland. This type of high BP can be completely controlled by proper drugs. In many cases, surgical removal of the small adrenal tumour results in cure of high BP. Excess catecholamines are secreted by tumours called pheochrocytomas. We offer comprehensive biochemical and radiological investigations to find out causes for difficult-to- control blood pressure. Many persons with such problems have been diagnosed and successfully treated.
Common endocrine problems in women like irregular and infrequent menstrual cycles, excess facial and body hair growth, primary and secondary infertility and menopausal symptoms are evaluated and treated successfully.
Growth Disorders, Hypothyroidism and Premature and Delayed Puberty are some of the common disorders in children for which optimum treatment is available.
The availability of the 1.5 TESLA MRI and availability of hormone assays of Pituitary hormones in KIMS, facilities treatment of Pituitary tumours, Hypopituitarism and Prolactin disorders. We regularly interact with the Neurosurgical Department for surgical support.
Some of the diagnostic tests we use at the KIMS Endocrinology Department include:
- 24-Hour Urine Collection Test
- ACTH Stimulation Test
- Bone Density Test
- CRH Stimulation Test
- Dexamethasone Suppression Test
- Fine-Needle Aspiration Biopsy
- Five-Day Glucose Sensor Test (For Diabetes)
- Oral Glucose Tolerance Test
- Semen Analysis
- Thyroid Scan
- TSH Blood Test
- We have expertise in all endocrinological treatments, including common procedures and cutting-edge technologies. Some of the treatment procedures we perform include:
- Biphosphonate Therapy (For Osteoporosis)
- Insulin Pump
- Male Hormone Replacement Therapy
- Parathyroid Hormone Therapy (For Osteoporosis)
- Pituitary Hormone Replacement Therapy
- Radioactive Iodine Therapy
- Thyroid Hormone Replacement Therapy