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Luo Juan
Endocrinology
About me
Associate Chief Physician, Department of Endocrinology, Hunan People's Hospital, Master's degree. Youth Committee Member of the Hunan Diabetes Professional Committee. Member of the Women's Endocrine Disease Prevention and Treatment Professional Committee of the Hunan Female Physician Association.
Proficient in diseases
Diagnosis and treatment of diabetes, thyroid disease, and adrenal gland diseases.
Voices
What department should I register for obesity?
For obesity, one should register for an appointment in the endocrinology department. Obesity is a chronic metabolic disease caused by excessive accumulation or abnormal distribution of body fat. Obesity often occurs due to a higher calorie intake than expenditure in the body, resulting in excessive fat accumulation and thus overweight and bulky physique. An actual weight measurement exceeding 20% of the standard weight, and a fat percentage exceeding 30% can be classified as obesity. In endocrinology, obesity is generally divided into primary and secondary types. Some secondary factors, such as hypothalamic-pituitary disorders, hypercortisolism, hypothyroidism, hypogonadism, insulinomas, etc., can cause secondary obesity, therefore, it is appropriate to consult the endocrinology department for obesity.
Which department to see for thyroid cysts?
For which department to consult for thyroid cysts, firstly if it is just a routine physical examination and a thyroid ultrasound reveals a thyroid cyst, it is recommended to first consult the endocrinology department. An assessment of thyroid function should be conducted to see if the thyroid is functioning normally or abnormally. If it is confirmed to be simply a thyroid cyst, then the size of the cyst should be considered in deciding the next steps for treatment. If the cyst is not large and thyroid function is normal, it might be advisable to observe it for some time. If the cyst causes symptoms due to compression, surgical treatment in the department of surgery might be necessary, or dealing with the thyroid cyst using techniques such as radiofrequency ablation could be considered. Therefore, it is advised to first visit the endocrinology department and, based on the opinion of the endocrinologist, if surgical intervention is needed, then consult the breast and thyroid surgery department.
symptoms of obesity
Regarding the symptoms of obesity, they vary with the type of disease. For example, in secondary cases, there are clinical manifestations of the primary disease. For instance, obesity caused by hypothyroidism may also present with fatigue, poor appetite, dry skin, etc. Some people have obesity due to insulinoma or recurrent hypoglycemia, leading to repeated eating. The clinical manifestations also include symptoms of hypoglycemia such as palpitations, trembling hands, sweating, and a sense of hunger. If it is a case of simple obesity, generally, men primarily show an apple-shaped obesity, with fat accumulated mainly above the waist. In contrast, women exhibit a pear-shaped obesity, with fat accumulation below the waist, such as in the lower abdomen, buttocks, and thighs. Of course, related to obesity, there are also manifestations of cardiovascular diseases, high blood pressure, diabetes, etc. Some people with obesity may also experience sleep apnea syndrome, venous thrombosis, and so on. Studies suggest that the incidence of malignant tumors is also higher in patients with obesity. Because patients with long-term obesity carry excess weight for a long period, they may experience lower back pain, joint pain, swelling, and are more prone to abrasion or combined fungal or purulent infections in the folds of the skin. Therefore, the clinical manifestations of obesity vary according to the cause of the disease.