Specialties of doctors


An endocrinologist, as is clear from the name of the specialty, is a physician who helps diagnose diseases in terms of the endocrine system. He also helps to overcome the crisis to those who are prone to such ailments due to poor heredity, or simply wants to carry out a thorough prevention of illnesses.

The main task, which falls on the shoulders of such a specialist, is the ability to establish a diagnosis and eliminate it with the help of hormonal therapy. Moreover, the expert paints the course solely on the basis of the individual characteristics of each organism of its patients. Due to such a thorough approach, it turns out to get rid of the incipient disease only, or to weaken the already developed and become chronic.

When the help of an endocrinologist is needed

Not all ordinary people know exactly what the endocrinologist treats. Some even believe that his main task is to examine the thyroid gland for its enlargement and to send problem patients to follow-up visits to an oncologist.

But in fact, such a doctor is engaged in a much larger range of work. First, he conducts research in order to determine the endocrine system performance. After receiving the primary results, his consultation will be based on a more specific diagnosis, as well as the elimination of the revealed violations in the most painful ways.

A good specialist will offer his patient several options to resolve the issue, if such an opportunity presents itself. And not all of them have a radical development of events, since the surgeon is already considered the last resort when there is no alternative treatment method.

In addition to the fact that the doctor treats the disease itself, he also deals with issues of utilization of the consequences that this disease has caused. The hormonal correction got into this list. Properly prescribed regimen of drugs of such a spectrum of action has a beneficial effect not only on the stabilization of internal organs. Reviews of patients who have undergone a similar therapy claim that it helps them even on an emotional level.

Usually, moral relief is due to the fact that a person suffering from a shifted metabolism brings his body back to normal. After all, it is often hormonal surges that cause obesity. This applies to both adults and adolescents. For the latter, the hospital usually has a special endocrinologist on staff. The child finds an approach even to shy children, adjusting their lifestyle with the help of concomitant medications.

What does the endocrinologist treat?

Modern endocrinology, as a separate scientific branch, has two of the most extensive divisions, including:

  • children's endocrinology;
  • diabetology.

The first group covers the problems of adolescent patients who are experiencing abnormalities in normal sexual development or growth. Girls are additionally recommended to appear to a female doctor, since the gynecologist with the support of an endocrinologist will be able to prescribe a more correct course of treatment.

An extensive group includes patients who have been diagnosed with or still suspect diabetes of varying degrees of severity. Moreover, the doctor helps even those patients who need to neutralize the main complications caused by such a common ailment.

In recent years, the world scientific community is increasingly inclined to bring diabetology in a separate section of medicine. There are more than enough reasons for this, but the main one is affecting the rampant increase in patients suffering from such an ailment.

The difficulty is added by the fact that diabetics are chronic patients for the most part, which is why they have to come to the reception regularly. But such victims are fully justified, because with the course adjustment made on time, it will be possible to avoid serious complications.

But the choice between a doctor in a public medical institution or a paid clinic lies entirely on the shoulders of the person in need of services. Not always a free specialist is worse than an expert in a private office. Here it is more important to focus on his qualifications, work experience, as well as professional development through participation in thematic seminars and forums.

Choosing the best place where you take the doctor you like, you should not delay with his visit. If, however, we constantly postpone the recording, then at one moment the state may deteriorate sharply to such an extent that it is necessary to call the ambulance brigade. And the thing is that it will fail:

  • thyroid;
  • hypothalamus;
  • pituitary;
  • adrenal glands;
  • pancreas;
  • pineal body.

With the advanced stage of the disease, it becomes much more difficult to deal with the accompanying manifestations of depressing well-being symptoms, no matter what ailment is diagnosed.

And the most common diagnoses that endocrinologist puts are:

  1. Diabetes. This endocrine disease, which makes itself felt in the absence of the required amount of insulin, produced by internal organs.
  2. Diabetes insipidus. Compared with the first item, it is much less common, but it still occurs if a person suffers from abnormalities in the functioning of the pituitary or hypothalamus.
  3. Disorders of the thyroid gland. Various options are possible here, but most often we are talking about autoimmune thyroiditis or diffuse goiter.
  4. Hyperarogenism. A disease affecting only women. The problem lies in increasing the number of male sex hormones. It is important to draw up a treatment regimen together with an experienced gynecologist.
  5. Testosterone deficiency. Reverse hyperandrogenism disease. The disease affects men who, with age, the male hormone is produced in insufficient quantities.

There are more rare diseases, among which is acromegaly. It affects the functioning of the pituitary gland. Also, people often experience adrenal gland diseases. These patients usually have a mark in their medical card diagnosed with Itsenko-Cushing's disease.

In addition to options, where the primary source of all problems is the lack or excess of female or male hormones, people often experience an overdose of prolactin. And parents of babies have to make an appointment if the child has a suspicion of hypothyroidism. This means that children do not have enough hormones secreted by the thyroid gland.

Another danger is pseudohypoparathyroidism, which manifests itself in the form of convulsive syndrome. And often the first cramps in crumbs begin to fix from the first days of life.

Not to do without consulting an endocrinologist to all those who are going to get rid of obesity. Often, in these situations, one nutritionist or sports coach cannot help. To achieve a good result, it is necessary to test for hormones. It is likely that overweight is caused by physiological problems at the level of hormonal shortages or shocks.

The relevance of the children's endocrinologist

Most moms and dads bypass the endocrinologist’s office in the clinic, even if the pediatrician strongly recommends that you consult such a specialist. But even without an urgent need, one should not ignore the advice to take the kid for a routine examination. It is likely that such foresight will be able to save the heir in the future from serious complications.

It is also worth sounding the alarm if a son or daughter has several of the following symptoms:

  • frequent urination with persistent thirst;
  • drops of appetite;
  • obesity;
  • a sharp weight loss or the inability to gain kilograms for a very long time;
  • developmental lag;
  • muscle weakness;
  • increased fatigue;
  • enlargement of the thyroid gland even without associated painful sensations;
  • convulsive syndrome.

It is equally important to ensure that you do not omit the possible time of early onset of menstruation in girls under seven years of age or the development of secondary sexual characteristics in boys under 8 years of age.

If you suspect a delay in sexual development in 13-14 children, it is also worthwhile to show the child to the doctor. If you don’t want an official card to contain a record of such a delicate reason for visiting a doctor, then you can contact a private specialist. The paid doctor will conduct a reception in the equipped office, recommending that he pass the necessary tests on condition of anonymity. It is worth paying attention to the fact that the clinic for counseling and treatment has a good reputation. An important sign of the professionalism of the experts who host them are licenses and certificates for training courses.

You can even ask doctors from private clinics even in parallel with official treatment at a state hospital. Some parents do this on purpose to double-check diagnoses. There are those moms and dads who are only nominally registered as patients of public clinics, and qualified care is received in private hospitals.

You should also consider the situation when the child is put on a long endocrinological accounting. This happens with the following script options:

  • low or abnormally high birth weight;
  • metabolic disorders;
  • thyroid problems;
  • violation of sexual development;
  • adrenal pathology.

With the above diagnoses for the short-term treatment can not count.

Features of the work of an adult endocrinologist

It often happens that the patient reaches the endocrinologist as a last resort because he travels a long time to other doctors' offices: a urologist, a gynecologist, a therapist.

Despite the fact that in some cases the symptoms in children and adults are the same, it is usually more problematic to establish an accurate diagnosis for men and women. This is explained by the fact that some diseases are masked one under the other, or are closely interrelated.

The work of an experienced expert is to find this connection on the basis of common symptoms:

  • weakness and fatigue;
  • memory problems;
  • reduced performance;
  • pain in the upper and lower limbs without a cause or numbness;
  • depression without any particular reason;
  • irritability;
  • weight jumps without changing diets or emotional turmoil;
  • profuse sweating with a feeling of heat;
  • thirst and subsequent frequent urination;
  • headaches;
  • feeling of coma in the throat;
  • swelling and pain in the throat;
  • heart rhythm disorders;
  • nausea and constipation;
  • violation of the menstrual cycle.

But even if a potential patient has only one or two of the listed symptoms, or they do not appear at all, and the therapist has sent to a specialist, this is not a reason to ignore the recommendation.

This is especially true for women, for whom in some situations a visit to an endocrinologist-gynecologist is obligatory:

  • pregnancy planning;
  • selection of oral contraceptives;
  • age prophylaxis over 45;
  • period before menopause.

Even young girls, who are faced with copious menstruation, literally fainting, cannot do without the help of such a doctor. They can also complain about being overweight with a normal diet and even an active lifestyle, fast hair growth.

A young age is not a barrier to the development of pathologies of the cervix, ovarian cysts and other serious gynecological disorders amid hormonal imbalance.

How is the reception

Usually, the first visit of a specialized specialist provides a story about his own suspicions and complaints. Also, the doctor performs a primary examination, providing measurements with a tape and weights. If necessary, growth and blood glucose levels are checked.

Depending on the symptoms described, a neurological kit or tests for ketone bodies is used. And if the patient got into the office of the gynecologist-endocrinologist, then there will be a gynecological chair for examination.

In addition to the survey regarding complaints, an experienced physician always clarifies whether there were relatives in the family who had experienced endocrine diseases. During the consultation, the patient at the same time will check the pressure and heart rate, as well as examine the lymph nodes, the thyroid gland.

Upon completion of the first admission, the patient will be given a referral for an ultrasound scan of: the thyroid gland; adrenal glands; pelvic organs.

Also not to do without a blood test for sugar and hormones.

If it is required to pass tests for hormones, the doctor must necessarily warn the visitor that it is necessary to pass testing only on certain days. So, for estrogen measurements, you need to take a test for 3-5 days before the start of the menstrual cycle. Separate rules apply to testosterone, progesterone and other hormones.

At the same time, it is necessary to follow generally accepted rules such as quitting alcohol and smoking a day before taking tests. Also it is impossible to be engaged on the eve of active physical exercise. And certainly you should not go for tests for a cold or any other inflammatory process.

Watch the video: Dr. Nestoras Mathioudakis. Endocrinologist (December 2019).