Management of Adolescent Acquired Primary Hypothyroidism through Ayurveda: A Case Report
DOI:
https://doi.org/10.70066/jahm.v14i2.2589Keywords:
Case Report, Hamspadiadi Kashaya, Hypothyroidism, Kanchanara Guggulu, Triphala Kashaya.Abstract
Background: Hypothyroidism a frequently found endocrine disorder in adolescents characterised by dysfunction in thyroid gland. Even though after high prevalance hypothyroidism does not attract much attention, 0.3% of children with 2% of adolescents are going through this condition. Very fewer studies described childhood hypothyroidism from an Ayurveda view, as they mainly focus on allopathic treatment. This case outlined holistic Ayurveda management of adolescent acquired primary hypothyroidism, a rarely documented case in adolescents, purely based on holistic treatment without any supplementation. Case Report: A 17 years old female came with generalised weakness, reduced activity, decreased appetite, neck swelling, dry skin, muscle cramps, facial puffiness and hard stools on alternate days for 1 year. Blood investigations revealed a raised serum TSH level, reduced quality of life when assessed on Pediatric Quality of Life Inventory scale (PedsQL) across multiple domains. Based upon clinical presentation and blood parameters acquired primary Hypothyroidism made as final diagnosis. Intervention: Structured holistic Ayurveda metabolic centred treatment protocol was planned which included oral medication along with structured diet given over 266 days period with 4 follow ups. Oral medications were Kanchanar Guggulu along with Haridra, Tripahala, Sunthi, Khadira, Guduci choorna combination, Triphala Kashaya, Hamsapadiadi kashaya along with dietary measures. Outcomes: After completion of treatment serum TSH level reduced to 1.71 μIU/mL from 7.26 μIU/mL at baseline. Apart from this patient showed gradual improvement in clinical features as well as improved quality of life mean which was 44 at baseline and improved to 79 during last follow up assed on PedsQL. Conclusion: A 266 days with 4 follow ups holistic treatment approach which includes oral medication and diet shown improvement in subjective as well as objective parameters, including serum TSH, quality of life and clinical features in a chronic acquired primary hypothyroidism without any adverse events.
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