All types of hormonal tests are done in our laboratory. Some hormonal tests are done over a period of 2-3 hours and require the patient to be admitted for a short stay. Some of the special hormonal tests which we do are listed here.
Newborn screening helps to diagnose disorders such as congenital hypothyroidism, G6PD deficiency, congenital adrenal hyperplasia, phenylketonuria and cystic fibrosis. This test is done for the newborns 72 hours after birth (sometimes cord blood is taken). A few drops of blood is taken on a filter paper after a gentle heel prick and sent for the test. It is worth doing it for all the newborns, mainly for early diagnosis of congenital hypothyroidism. This condition, if not treated early may lead to developmental delay and poor IQ in children.
Community outreach programs
We conduct health camps such as obesity camp, diabetes camp and short stature screening camp.
Educational talks at schools.
This is excess growth of hair in females over the face, back and other hormone dependant areas. This is due to androgens (male hormones) which are in excess in some women. Common cause of excess androgen include polycystic ovarian syndrome (PCOS). Other causes such as androgen secreting tumours also should be kept in mind. Treatment depends on the cause.
Polycystic ovary syndrome in adolescent girls
This is common condition seen in peri-pubertal girls. Irregular menstrual cycle, acne, weight gain are the common presenting features. Ultrasound scan of the ovaries may show multiple cysts. Weight reduction helps to improve symptoms. Medications are required for some patients.
Gynaecomastia is abnormal breast development in males. This is sometimes seen adolescent boys and does not require any treatment. This benign condition should be differentiated from other pathological conditions causing gynaecomastia. Some cases require surgery such as reduction mammoplasty or liposuction.
After effects (management of late endocrine effects of cancer treatment).
Cancer therapies such as radiotherapy, chemotherapy and surgery may result in loss of certain endocrine function. Therefore, it is important to follow up the children with cancer, after their treatment to identify and manage their hormonal problems.
Diabetes services for children
There are different types of diabetes. Children almost always suffer from type I diabetes. Type I diabetes occurs due to lack of or insufficiency of insulin in the body. More recently, type II diabetes is also on an increase. This is because of increased incidence of obesity among children. We offer a comprehensive multidisciplinary management of diabetes in children which includes
intensive insulin regimens.
continuous glucose monitoring system (CGMS).
pump therapy where appropriate.
regular follow up and screening for associated conditions.
Patient/parent education is an important aspect of management of diabetes. We provide extensive diabetes education to the parents of young children with diabetes. This is done over 3-5 sessions.
High or low calcium and rickets
Calcium, phosphate, vitamin D, parathyroid gland, liver and kidney play important role in building string bones and maintaining normal level of calcium in the blood.
Vit D deficiency results in rickets and is very common worldwide. Early diagnosis and treatment of this condition will help prevent morbidity in young children.
Overweight, Obesity And Its Complications
These days obesity has become an epidemic. When a child’s weight is excess for his/ her height, it is known as overweight and severe form of this disproportion is known as obesity. Commonest reason for obesity is faulty dietary habits and lack of physical activity. Occasionally hormonal problems can also result in obesity. If not acted upon, obesity may lead to high blood pressure, diabetes, metabolic syndrome, hyperlipidemia, arthritis and many more complications. We provide structured obesity work up and action plan for our patients.
Disorders of sexual differentiation (intersex and related disorders)
This group comprises various disorders of chromosomal or gonadal origin resulting in sexual differentiation.