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Endocrinological Disorders
Question #312
320 days ago
175

Pituitary Gland Shut off - #312

Parvesh Madan

67 yrs Male known case of type 2 Diabetes (Neuropathy and Retinopathy) and Blood Pressure since 35 years. On Insulin ( twice a day )since 2006 with Hb1ac 8. Was very active, cheerful and having a good Indian Pure Veg Appetite. Suddenly in early August 2024 showed symptoms of • Hot and Cold intolerance • COMPLETE loss of appetite ( Nearly Zero intake of food ) • Extreme fatigue & tiredness • Overall reduced sense of well being and lack of interest in work or social life. • Very low TSH • Low Hemoglobin levels • Low Sodium • Low Blood Sugar levels • Low Blood Pressure • Foot pain ( suffering from neuropathy since 2012) • Loss of Balance • Low Testosterone levels • Low Cortisol levels was admitted at Holy family Hospital, Bandra where Iron, Mvi, Saline, Steroid and Testosterone injection were given. Brain MRI done but study was suboptimal as patient is very claustrophobic could not complete the scan. No SOL in pituitary. He improved with Sterioids and IV. But again since mid September 2024 started experiencing above symptoms. Till date has lost 10 kgs in 2 months, Not eating at all, Severe muscle loss, Completely off BP and Sugar medicines, No.insulin. Also taken an Neurologist opinion who feels it is NPH. The moment Wysolene 5 ( steroid ) is tapered down to 1 from 3 his condition deteriorates. The endocrinologist feels it's central hypothyroidism (HYPOPITUTARISM) with NPH. PITUIATRY GLAND SHUTOFF. Need your opinion for the same.

Age: 67
Chronic illnesses: Diabetes
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Hello, is neurological evaluation of the patient done recently maybe with the CT scan of the the brain and lumber puncture ? The patient likely has a combination of central hypothyroidism, hypopituitarism, and potentially NPH. Managing this condition will require careful intervention. Ayurved can definitely help you in giving supportive treatment for improving digestion and metabolism. There are wonderful herbs that can improve his condition drastically to and to improve his muscle tone There are medicinal formulation as well as there are external treatments like Abhyanga, Pinda Swedan, Navra pinda swedan, , Taila Dhara, shirodhara , nasya etc. for this, I suggest you visit a local, but a good Ayurveda Doctor who will carefully examine the patient and do the required. Do not rely on medication without examining the patient.

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Dr. Harsha Joy
Dr. Harsha Joy is a renowned Ayurvedic practitioner with a wealth of expertise in lifestyle consultation, skin and hair care, gynecology, and infertility treatments. With years of experience, she is dedicated to helping individuals achieve optimal health through a balanced approach rooted in Ayurveda's time-tested principles. Dr. Harsha has a unique ability to connect with her patients, offering personalized care plans that cater to individual needs, whether addressing hormonal imbalances, fertility concerns, or chronic skin and hair conditions. In addition to her clinical practice, Dr. Harsha is a core content creator in the field of Ayurveda, contributing extensively to educational platforms and medical literature. She is passionate about making Ayurvedic wisdom accessible to a broader audience, combining ancient knowledge with modern advancements to empower her clients on their wellness journeys. Her areas of interest include promoting women's health, managing lifestyle disorders, and addressing the root causes of skin and hair issues through natural, non-invasive therapies. Dr. Harsha’s holistic approach focuses on not just treating symptoms but addressing the underlying causes of imbalances, ensuring sustainable and long-lasting results. Her warm and empathetic nature, coupled with her deep expertise, has made her a sought-after consultant for those looking for natural, effective solutions to improve their quality of life. Whether you're seeking to enhance fertility, rejuvenate your skin and hair, or improve overall well-being, Dr. Harsha Joy offers a compassionate and knowledgeable pathway to achieving your health goals.
319 days ago
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Given the complex situation you’ve described regarding the pituitary gland dysfunction, along with the other accompanying symptoms and chronic conditions, it’s essential to approach this with a comprehensive and multidisciplinary strategy. In Ayurveda, we recognize the importance of balancing the body’s energies (doshas) and addressing underlying causes rather than merely managing symptoms. For your current condition, focus on a diet that nourishes the body and supports recovery, emphasizing easily digestible, nutrient-dense foods like khichdi (a mix of rice and lentils), fresh fruits, and vegetables rich in vitamins and minerals.Given your condition of pituitary dysfunction and associated chronic illnesses, it’s essential to adopt a comprehensive Ayurvedic approach to support recovery. Ayurvedic formulations like Brahmi Vati can enhance cognitive function and reduce stress, while Guggulutiktaka Ghrit is beneficial for its anti-inflammatory properties and metabolic support, particularly for managing cholesterol levels. The formulation Chyawanprash, rich in Amla (Indian Gooseberry), can boost immunity and provide essential nutrients, helping combat fatigue and malnutrition. Triphala, a combination of three fruits, aids in digestion and detoxification, promoting overall health. Additionally, consider Punarnava Mandura, which helps improve kidney function and balances fluid retention in the body. Kanchanar Guggulu may assist in balancing thyroid function and managing symptoms of hypothyroidism. Incorporating a Panchakarma detoxification program can help eliminate toxins, with specific treatments like Abhyanga (herbal oil massage) and Basti (medicated enemas) to nourish the body and enhance vitality. It’s also important to engage in gentle yoga and pranayama for stress relief and improved circulation. Along with these remedies, ensuring a balanced diet rich in potassium and magnesium, and staying well-hydrated with herbal teas such as Tulsi or Ginger can significantly support your recovery.

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This situation sounds quite complex, and it’s essential to approach it with sensitivity and caution. You’ve got a combination of issues here, with a mix of diabetes, blood pressure irregularities, potential hypothyroidism, and other hormonal imbalances. Let’s try to pick through it.

First, the symptoms and medical examinations suggest an issue with the pituitary gland, possibly hypopituitarism, which could explain the hormonal imbalances like low TSH, testosterone, cortisol levels, etc. Since the pituitary gland influences a lot of hormonal activities in the body, its dysfunction can lead to many symptoms you’re observing.

Now, from an Ayurvedic perspective, we need to think about vata and pitta balances, which might be off track. The loss of appetite and fatigue could be due to aggravated vata. Vata could be dominating, disturbing the digestive fire (agni) which is essential for nutrient absorption and metabolic functions.

Since he’s dealing with severe appetite loss, focus could first be on rekindling agni. Try starting with small sips of warm ginger tea or diluted pomegranate juice to gently stimulate appetite. Also, include easily digestible food - think about well-cooked rice or moong dal, but in small quantities.

Cow’s milk - if he tolerates dairy, warmed with a pinch of turmeric and a touch of ginger, may serve well for both nourishment and calming digestive system. The anti-inflammatory properties may help buffer against some discomforts.

It’s also important to consider his emotional and mental stressors. Daily gentle breathing exercises can help calm stress, possibly addressing loss of interest and social withdrawal. Do not force, let him engage at a pace he’s comfortable with.

In terms of herbs, Ashwagandha is renowned for its adaptogenic properties — it could help modulate adrenal cortisol responses, however, it’s important to coordinate this with his endocrinologist given the existing steroid use.

Do remember, Ayurveda complements, but doesn’t replace necessary allopathic treatment, which is crucial, especially when dealing with serious issues like hypopituitarism. Ensure he’s well-monitored by healthcare professionals since his condition requires close medical supervision, and any Ayurvedic regimen should be coordinated with them to avoid contraindications.

This is a delicate situation, do make sure to get all perspectives, stay in touch with his doctors and ensure they’re on board with whatever additional steps you decide to take. His safety comes first.

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