Dr. Jose David Gamez, M.D.

There are several causes, she deserves to be seen by an endocrinologist to have a full evaluation.

There are several reasons for a kid to have low growth rate. He deserves to be seen by an endocrinologist to have a complete evaluation

Depending on your diagnosis, there are several medications that you can try to help you control the appetite. You must discuss the options with your endocrinologist.

May be diabetes. Please take her as soon as possible to her pediatrician.

He must take vitamin D supplements. The dose depends on his levels. Take him to your pediatrician.

Please have a clear conversation with his endocrinologist, he is the best person that can give you answers about your son.

As long he has his diabetes under control, he will be healthy and have a normal life. In the other hand, if he does not control his diabetes, may lead to unpleasant unhealthy complications as blindness, kidney problems and heart problems. An endocrinologist is the best specialist for your son.

It depends on what disorder she has. It is used to treat uncontrolled hyperthyroidism secondary to Grave's disease.

It depends on her baseline diagnosis. The best person to answer your question is her endocrinologist.

Uncontrolled diabetes mellitus may lead to unpleasant complications as nerve damage (neuropathy). It may also cause kidney damage (neprhopathy), heart problems and blindness. In the other hand, good control of his diabetes would help him to have a healthy long life.

Please take her to an endocrinologist. She should have a complete evaluation.

Type 1 diabetes mellitus is an autoimmune disease. That means that her own immune system produced antibodies that attacked her pancreas and consequently decreased her insulin production.

Hello,

The concept sounds really good and I have seen some case reports in newspapers about this. However, I have not seen evidence-based clinical studies showing that they are better than having a continuous glucose monitor (like Dexcom) that alerts about hypoglycemia episodes overnight. To my knowledge, there are not scientific studies approved by the American
Diabetes Association that supports their claims.

Overweight and obesity are the causes of metabolic syndrome in children and adolescents. It is the first step towards diabetes mellitus.

Hello,

You are absolutely right. We use to think that type 2 diabetes only affected older people. Unfortunately, due to increasing rates of obesity in children, defined by a body mass index (BMI) greater than 90th percentile for age, the prevalence of this disease is increasing in teenagers. My youngest patient with T2DM is 6 years old. However, it is important to rule out T1DM as well, because he can have a "mixed" diabetes, T1DM + T2DM.

Hyperthyroidism is a chronic disease and treatment is variable. Depending on the cause (most common is Grave's disease) treatment could range from medications, radiation with iodine or surgery. It is important to be treated by an endocrinologist.

Weight gain is a multi-factorial process, I recommend to take your daughter to a pediatric endocrinologist that can help you to identify what is causing her to gain weight.

The following are the adverse effects documented of oral contraceptives:

*Increased risk or evidence of association with use:*

Cardiovascular: Arterial thromboembolism, cerebral thrombosis, hypertension, local thrombophlebitis, mesenteric thrombosis, myocardial infarction, pulmonary embolism, retinal thrombosis, venous thrombosis (with or without embolism)

Central nervous system: Cerebral hemorrhage

Gastrointestinal: Gallbladder disease

Hepatic: Hepatic adenoma, hepatic neoplasm (benign)

*Adverse reactions considered drug related:*

Cardiovascular: Edema, worsening of varicose veins

Central nervous system: Depression, exacerbation of tics, migraine, *mood changes*

Dermatologic: Allergic skin rash, chloasma (may persist)

Endocrine & metabolic: Amenorrhea, breast changes (breast hypertrophy, breast secretion, breast tenderness, mastalgia), decreased serum folate level, exacerbation of porphyria, fluid retention, menstrual disease (menstrual flow changes), weight changes

Gastrointestinal: Abdominal cramps, abdominal pain, bloating, breakthrough bleeding, change in appetite, nausea, vomiting

Genitourinary: Cervical ectropion, change in cervical secretions, decreased lactation (with use immediately postpartum), infertility (temporary after discontinuation of treatment), spotting, vaginitis, vulvovaginal candidiasis

Hepatic: Cholestatic jaundice

Hypersensitivity: Anaphylaxis/Anaphylactoid reaction (including angioedema, circulatory shock, respiratory collapse, urticaria)

Neuromuscular & skeletal: Exacerbation of systemic lupus erythematosus

Ophthalmic: Contact lens intolerance, change in corneal curvature (steepening)

Yes, an endocrinologist can help you with a specific diet for your son.

Yes, an endocrinologist can help you to determine if she has precocious puberty.