Best Doctors in India for Grave's Disease treatment

Profile Highlights:

  • Dr. Ambrish Mithal is an endocrinologist, who in 2019, has been nominated to the Governing Council of the National Health Authority, the apex body involved in implementing the ambitious population health coverage plan of the government.
  • Dr. Mithal was awarded the Dr. B C Roy Award by the President of India for his contribution to the development of endocrinology in India.

Profile Highlights:

  • Dr. Ashok Kumar Jhingan has been treating chronic diabetes patients and has an experience of 33 years in this arena.
  • He completed MBBS from Maulana Azad Medical College in 1974, FICA from All India Institute of Medical Sciences, New Delhi in 1975, and MD – General Medicine from All India Institute of Medical Sciences, New Delhi in 1997.
  • Dr. Jhingan is known for rendering health education for the prevention and treatment of Diabetes Education

Profile Highlights:

  • Dr. Dheeraj Kapoor is a well-known Endocrinologist in New Delhi who has expertise in treating diabetes-related complications.
  • After completing his MBBS & Masters in Medicine, he did his DM Endocrinology from the Institute of Medical Sciences, Banaras Hindu University, Varanasi
  • Dr. Dheeraj Kapoor is an active member of various renowned organizations such as the Association of Physicians of India, the Endocrine Society of India, and Research Society for the Study of Diabetes in India, and the Indian Thyroid Society.

Profile Highlights:

  • Dr. Manish Gutch is a well-trained Endocrinologist with specializations in Diabetes & Metabolism, Osteoporosis, Menopause, and Hormonal Disorders.
  • He is presently working at Medanta Hospital as the director of the Endocrinology department.
  • Dr. Manish Gutch’s high intellectual capacity is reflected through his outstanding achievement of three Gold medals during the successful completion of MBBS, MD, and DM.

Profile Highlights:

  • Dr. Rajendiran N holds an experience of more than 4 decades and expertise in diabetic consulting for chronic patients.
  • Dr. Rajendiran specializes in Gestational Diabetes, Type 1 Diabetes and Type 2 Diabetes.
  • He is the secretary of the Diabetes Association of India (Southern Chapter) and Founder President of Madras Medical College Diabetes Alumni Association.

Profile Highlights:

  • Dr. Mohammada Asim Siddiqui is one of the best endocrinologists in India. He has an experience of over 26 years in the field. Dr. Siddiqui is active as a senior consultant – endocrinologist with Apollo Centre for Obesity, Diabetes, & Endocrinology, New Delhi.
  • Dr. Siddiqui specializes in Internal Medicine & manages Diabetes, Endocrine and Metabolic Disorders, skin allergies, and Piles Treatment.
  • His interest in Diabetes mainly focuses on young and gestational diabetes & Post-transplant & post-metabolic surgery diabetes.
  • Dr. Siddiqui is also involved in various clinical research and has penned more than 50 articles in national and international journals.

Profile Highlights:

  • Dr. I.P.S. Kochar is one of the best Pediatric Endocrinologists in India, having over 36 years of experience. He is a senior consultant for Pediatric Endocrinology at the Indraprastha Apollo Hospital, New Delhi.
  • Dr. Kochar is specialized in the treatment of Growth disorders, metabolic disease, Dyslipidemia, Thyroid Disorders, Osteoporosis, Jaundice, and other Endocrinology problems in children and adolescents. One can also consult Dr. Kochar for weight & height and diabetes management.
  • He published numerous writing for many national and international journals.

Profile Highlights:

  • Dr. Atul Luthra is a senior consultant in the arena of diabetes and other endocrine disorders.
  • He is an excellent teacher and author. He is widely known for delivering guest lectures at various state and national level conferences.
  • Dr. Luthra is a prolific speaker and orator, who has a special contribution to diabetes outreach in India.

Profile Highlights:

  • Dr. C M Batra is currently associated as a Senior Consultant with the Department of Endocrinology at Indraprastha Apollo Hospitals, New Delhi
  • He specializes in Diabetic, Thyroid, Obesity, Reproductive Disorder, Bone and Metabolism
  • Dr. Batra is a member of RSSDI, Endocrine Society of India, and the American Endocrine Society

Profile Highlights:

  • Dr. Sruti Chandrasekaran is an American board-certified endocrinologist and diabetologist practicing at the Dr. Rela Institute in Chennai as a senior consultant who treats innumerable diabetic patients.
  • Ever since she moved back from the University of Maryland she has been heading the endocrine department and managing various endocrine inpatients and outpatients.

Best Hospitals in India for Grave's Disease treatment

Indraprastha Apollo Hospital, New Delhi

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Fortis Memorial Research Institute, Gurugram

Hospital Highlights:

  • Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
  • It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
  • The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.

Apollo Hospital, Chennai

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Medanta-The Medicity, Gurgaon

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Artemis Hospital, Gurugram

Hospital Highlights:

  • One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
  • With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
  • The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
  • The hospital has won several awards as well, since its inception.

BLK Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • Equipped with 650 beds, BLK Superspecialty Hospital is the largest stand-alone private sector hospital in Delhi.
  • With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest Bone Marrow Transplant Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.

Gleneagles Global Hospitals, Chennai

Hospital Highlights:

  • Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
  • The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
  • The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.

Fortis Hospital, Mulund, Mumbai

Hospital Highlights:

  • Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and therapeutic services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
  • This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
  • Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.

Kokilaben Dhirubhai Ambani Hospital, Mumbai

Hospital Highlights:

  • Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
  • Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
  • The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
  • The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
  • The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.

Grave's Disease

Grave’s Disease is an autoimmune disorder that leads to the overproduction of thyroid hormones. The condition is called hyperthyroidism. Amongst the various causes of hyperthyroidism, Grave’s disease is the most common source. This disease is more common in women and people below 40 years of age.

Causes of Grave's Disease

A malfunction in the body’s disease-fighting system or immune system causes Grave’s disease. The immune system of our body normally produces antibodies that target specific bacteria, virus, or any foreign matter. However, in Grave’s disease, the immune system produces antibodies to one part of the cells in the thyroid gland (a hormone-producing gland present in the neck). Function of thyroid is usually regulated by a hormone released by pituitary gland (a tiny gland at the base of the brain). Thyrotropin receptor antibody (TRAb), an antibody associated with Graves’ disease behaves like the regulatory pituitary hormone. Because of this TRAb supersedes the normal thyroid regulation, causing an overproduction of thyroid hormones (hyperthyroidism).

Symptoms of Grave's Disease

The symptoms and signs of Grave’s disease can be:

  • Heat sensitivity
  • Anxiety
  • Fatigue
  • Increase in perspiration
  • Erectile dysfunction or reduced libido
  • Irritability
  • Bulging eyes (Grave’s ophthalmopathy)
  • Warm, moist skin
  • Palpitations (rapid or irregular heartbeat)
  • Frequent bowel movements
  • Fine tremors of the fingers or the hands
  • Weight loss
  • Sleep disturbance
  • Red, thick skin mostly on the top of feet or on the shins (Grave’s dermopathy)
  • Enlargement of the thyroid gland (goiter)

Diagnosis of Grave's Disease

Your doctor may perform a physical examination to check for the signs and symptoms of Grave’s disease and diagnose the condition. He or she might ask you about your family history and medical history.

Blood tests

Blood tests help in determining the levels of thyroid-stimulating hormone (TSH). TSH hormone is a pituitary hormone that stimulates the thyroid gland. Blood tests also determine the levels of thyroid hormones. If you are suffering from Grave’s disease, you might have a lower level of TSH than normal with high levels of thyroid hormones.

Ultrasound

Ultrasound uses high-frequency sound waves for producing the images of structures present in the body. It reveals an enlargement in the thyroid gland. Many people, like pregnant women, who can’t undergo radioactive iodine uptake may find the test useful.

Radioactive iodine uptake

Your doctor will determine the rate of uptake of iodine by the thyroid gland by giving you some amount of radioactive iodine. He or she will measure the amount in the thyroid gland with the help of a specialized scanning camera. The doctor can determine whether the Grave’s disease or any other ailment is the cause of hyperthyroidism by determining the amount of radioactive iodine taken up by your body.

Imaging tests

Your doctor might recommend special imaging tests like an MRI or a CT scan.

Treatment options for Grave's Disease

The goal of the treatment is to stop the production of thyroid hormones and block the effect of these hormones on the body.

Radioactive Iodine Therapy

You take radioactive iodine (radioiodine) in your mouth under this therapy. The thyroid gland takes this radioiodine into its cells and the radiation destroys the overactive thyroid cells with the passage of time. Ultimately, your thyroid gland shrinks while reducing the symptoms within a few weeks to a few months. It may increase your risk of new or deteriorated symptoms of Grave’s ophthalmopathy. The treatment is not for breastfeeding women or pregnant women.

Anti-thyroid medications

These medications interfere with the use of iodine by the thyroid gland to produce hormones. Your doctor might prescribe you medications like methimazole and propylthiouracil. Methimazole (Tapazole) is the first choice of doctors while prescribing medications. However, for women in their first trimester, propylthiouracil is the first choice of drug. Hyperthyroidism may relapse if you use these two drugs alone without any additional treatment. If you take any of these drugs for more than a year, then it may show long-term results. You may also use anti-thyroid drugs before or after radioiodine therapy for supplemental treatment.

Beta blockers

Beta blockers do not inhibit thyroid hormone production. However, they block the effect of hormones on your body. They provide relief from tremors, heat intolerance, irregular heartbeats, sweating, muscle weakness, anxiety, diarrhea, and irritability. Asthmatics must refrain from taking these drugs as beta-blockers trigger an attack of asthma. They may also complicate diabetes treatment.

Surgery

Another treatment option for Grave’s Disease is thyroidectomy (removal of the thyroid) or subtotal thyroidectomy (removal of a part of your thyroid). You might need treatment to supply thyroid hormones in normal amounts after the surgery. The associated risk with this treatment is probable damage to the nerve controlling your parathyroid glands (tiny glands located near thyroid gland) and vocal cords. You might need to take lifelong thyroid medications after this surgery.

Lifestyle and home remedies

  • Releasing stress: Stress worsens or triggers Grave’s disease. So, easing your stress might be helpful. You can listen to music or take a warm bath to relieve stress. Take the help of your doctor to create a plan involving good exercise, proper nutrition, and relaxation in your regular schedule.
  • Eating well and exercise: Taking a balanced diet and exercising well helps to improve the symptoms during treatment. This makes you feel better. Weight-bearing exercises help to maintain bone density.

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