Thyroid
The thyroid is a small gland in the neck that controls energy, metabolism, and many body functions through hormone production. When the thyroid is overactive (hyperthyroidism) or underactive (hypothyroidism), it can lead to weight changes, fatigue, mood swings, and other health problems. Early diagnosis and treatment are essential for maintaining balance and well-being. Dr. MK Azad offers advanced diagnostics, medication management, and expert follow-up. Whether it’s thyroid nodules, goitre, or autoimmune thyroid diseases, personalised treatment and compassionate care are provided to help patients regain control of their health and feel better every day.

থাইরয়েড
থাইরয়েড হলো গলার একটি ছোট গ্রন্থি যা শরীরের শক্তি, বিপাক এবং অনেক শারীরিক কার্যাবলী নিয়ন্ত্রণ করে। যখন থাইরয়েড অতিরিক্ত সক্রিয় (হাইপারথাইরয়েডিজম) বা কম সক্রিয় (হাইপোথাইরয়েডিজম) হয়, এটি ওজনের পরিবর্তন, ক্লান্তি, মুডের সমস্যা এবং অন্যান্য স্বাস্থ্যগত সমস্যা সৃষ্টি করতে পারে। সময়মত সঠিক নির্ণয় ও চিকিৎসা শরীরের ভারসাম্য বজায় রাখতে এবং সুস্থ থাকতে অত্যন্ত জরুরি। ড. এমকে আজাদ উন্নত নির্ণয়, ওষুধ ব্যবস্থাপনা এবং বিশেষজ্ঞ পরবর্তী যত্ন প্রদান করেন। থাইরয়েডের গুটি, গলার স্ফীত হওয়া বা অটোইমিউন রোগগুলির জন্য ব্যক্তিগত চিকিৎসা ও সহানুভূতিশীল যত্ন প্রদান করা হয়।

🧬 Thyroid Treatment Procedure

By Dr. M K Azad
Diabetes, Hormone, Medicine Specialist & Interventional Endocrinologist
Consultant & Head, Department of Endocrinology, Government Employees Hospital, Fulbaria, Dhaka

FCPS (Medicine), MD (Endocrinology), DEM (BIRDEM), MPH (Epidemiology)
Advanced Hormone Training – Singapore, Korea

The thyroid is a vital gland that controls various bodily functions by producing hormones that regulate metabolism, energy levels, and body temperature. Dr. M.K. Azad specializes in diagnosing and treating thyroid disorders such as hypothyroidism, hyperthyroidism, thyroid nodules, and thyroid cancer. With a personalized, patient-focused approach, Dr. Azad helps restore thyroid function and improve quality of life.

🧬 Common Thyroid Conditions Treated:

• Hypothyroidism (Underactive Thyroid): Low thyroid hormone levels causing fatigue, weight gain, depression, and cold intolerance

• Hyperthyroidism (Overactive Thyroid): Excessive thyroid hormone leading to weight loss, anxiety, tremors, and heat intolerance

• Goiter: Swelling of the thyroid gland, often associated with iodine deficiency or other thyroid dysfunctions

• Thyroid Nodules: Lumps or growths in the thyroid that may or may not be cancerous

• Thyroid Cancer: Malignant tumors in the thyroid gland, requiring early detection and treatment

• Graves’ Disease: An autoimmune disorder that leads to hyperthyroidism and may cause bulging eyes

• Hashimoto’s Thyroiditis: An autoimmune condition causing hypothyroidism due to immune system attack on the thyroid

• Thyroiditis: Inflammation of the thyroid often causing pain, swelling, and hormonal imbalances

🩺 Step-by-Step Thyroid Treatment Procedure:

1. Comprehensive Consultation and Evaluation

• Initial Assessment:

  • Discussion of symptoms such as fatigue, unexplained weight gain or loss, changes in heart rate, and temperature sensitivity

  • Detailed medical history to understand underlying health conditions and family history of thyroid disorders

  • Physical examination to detect signs of thyroid dysfunction (e.g., swelling, goiter, or tenderness in the neck)

2. Diagnostic Testing

• Hormonal Blood Tests:

  • TSH (Thyroid Stimulating Hormone): The primary marker for thyroid function

  • Free T4 and Free T3: To assess thyroid hormone levels and diagnose hypo or hyperthyroidism

  • Thyroid Antibodies: To detect autoimmune thyroid conditions such as Hashimoto’s thyroiditis or Graves’ disease

  • Thyroid Function Tests: Comprehensive tests to measure how well the thyroid is functioning

• Ultrasound of the Thyroid:

  • Non-invasive imaging to identify the presence of nodules, cysts, or goiters in the thyroid

• Fine-Needle Aspiration (FNA) Biopsy:

  • For suspicious thyroid nodules, a needle is used to extract tissue for examination to rule out cancer

• Radioactive Iodine Uptake (RAIU) Test:

  • To determine how well the thyroid is absorbing iodine, helping to diagnose hyperthyroidism and Graves’ disease

3. Personalized Treatment Options

• Hypothyroidism Treatment:

  • Levothyroxine: Synthetic thyroid hormone to restore normal thyroid function and alleviate symptoms

  • Regular Monitoring: Adjusting the dosage of levothyroxine based on follow-up blood tests and symptoms

• Hyperthyroidism Treatment:

  • Antithyroid Medications (e.g., Methimazole): To reduce thyroid hormone production

  • Radioactive Iodine Therapy: To destroy overactive thyroid tissue and reduce hormone production

  • Beta-Blockers: To manage symptoms such as rapid heart rate and anxiety associated with hyperthyroidism

  • Surgical Treatment: In some cases, surgery may be recommended to remove part or all of the thyroid gland

• Thyroid Nodules Treatment:

  • Watchful Waiting: If the nodule is benign and asymptomatic, regular monitoring may be sufficient

  • Surgical Removal: If the nodule is causing discomfort, is large, or suspected to be cancerous, surgery may be necessary

• Thyroid Cancer Treatment:

  • Surgery (Thyroidectomy): Removal of the thyroid gland or part of it for cancerous growths

  • Radioactive Iodine Therapy: After surgery, radioactive iodine is used to destroy any remaining thyroid tissue or cancer cells

  • Thyroid Hormone Therapy: Post-surgery, patients may need lifelong thyroid hormone replacement to maintain normal metabolism

• Graves’ Disease Treatment:

  • Antithyroid Drugs: To reduce thyroid hormone levels

  • Radioactive Iodine Therapy or Surgery: In cases of severe or recurrent hyperthyroidism

4. Lifestyle and Supportive Care

• Dietary Guidance:

  • Nutritional advice to support thyroid function, including iodine-rich foods for hypothyroidism

  • Guidance on avoiding goitrogens (substances that interfere with thyroid function), such as certain cruciferous vegetables in excessive amounts

• Exercise Recommendations:

  • Regular physical activity to improve metabolism, manage weight, and reduce stress

• Stress Management:

  • Techniques such as yoga, mindfulness, and meditation to reduce stress and support thyroid health

• Monitoring of Co-existing Conditions:

  • Addressing other health issues such as diabetes, hypertension, or cardiovascular conditions that may be impacted by thyroid disorders

5. Ongoing Monitoring and Follow-Up

• Regular Blood Tests:

  • Continuous monitoring of TSH, Free T4, and Free T3 to ensure that thyroid hormone levels are within the optimal range

• Post-Surgical Care:

  • If surgery or radioactive iodine therapy is required, follow-up visits to monitor for complications and ensure proper recovery

• Long-Term Thyroid Health:

  • For patients on thyroid hormone replacement, long-term management to ensure optimal dosing and avoid complications

🩺 Benefits of Thyroid Treatment:

• Improved Energy Levels: Restoring normal thyroid function helps alleviate fatigue and lethargy

• Weight Management: Treating thyroid imbalances can lead to improved weight management, whether for weight loss or weight gain

• Enhanced Quality of Life: Effective treatment can reduce symptoms like depression, hair loss, and dry skin

• Cancer Prevention: Early detection and treatment of thyroid cancer significantly improve outcomes

• Personalized Care: Dr. Azad’s individualized approach ensures the right treatment plan for each patient

📍 Clinic Address: Islami Bank Hospital and Cardiac Center, Mirpur
📞 For appointments 01810000123, 01327997655