Brief Answer:
All ailments have to be managed separately
Detailed Answer:
Hello,
Thanks for posting your query on XXXXXXX
It is evident from your history that you are suffering from a number of ailments and all have to be managed separately.
Hypothyroidism has to be managed by appropriate doses of thyroxine (which you are already taking).
The nodules on the thyroid gland need to be investigated.
An ultrasound followed by aspiration cytology needs to be done.
You can consult your doctor for prescription of these investigations.
Hyperparathyroidism occurs due to adenoma of single
parathyroid gland or due to hyperplasia of all four glands.
A sestamibi scan needs to be done to find out the cause of hyperparathyroidism.
A single adenoma is removed surgically.
In case of hyperplasia, parathyroid tissue is removed leaving behind few grams of the parathyroid tissue for the secretion of parathormone.
The cause of hyperaldesteronism also needs to be found out.
It could be due to adrenal tumor or hyperplasia of the adrenal gland.
Specific investigations need to be done to find the cause of
hyperaldosteronism.
Management will depend on the result of the investigations.
Hypertension needs to be managed by anti-hypertensive drugs.
Celiac disease needs to be managed by gluten free diet.
Menieres disease is managed by conservative approach (medication).
Consult an
ENT specialist for the problem.
if you have more concerns, feel free to contact me.
Thanks
Dr Shailja P Wahal