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How to manage childhood obesity and early puberty?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My granddaughter became obese last year. The doctors detected some thyroid problems. After taking the pills she became normal.

Now, she is expected to have early maturity. She is 6 years old now. Before three years she had a head injury. But, she was normal and it was ignored. What treatment she should take now?

Please guide.

Thank you.

Answered by Dr. Payas Joshi

Hello,

Welcome to icliniq.com.

Hypothyroidism itself can be one of the causes of this prematurity. When have you got your thyroid levels done?

I suggest you repeat it if not been done recently. What is the height of the child and her current weight? How many doses of thyroid hormone you are giving?

Please let me know if you need any help.

Thank you.

Investigations to be done

1. Ultrasonography of thre neck. 2. Anti-TPO antibody (anti-thyroid peroxidase). 3. Check levels of T3 (triiodothyronine), T4 (thyroxine), and TSH (thyroid-stimulating hormone).

Patient's Query

Hi doctor,

Thank you for your reply.

I would like to know what the consequences are.

  • Are there any remedies?
  • Does such a child lead a normal life?
  • What are the treatments required?

Please help.

Thank you.

Answered by Dr. Payas Joshi

Hi,

Welcome back to icliniq.com.

I understand your problem.

This appears to be a case of precocious puberty. Has puberty started already in your child, such as the development of breasts or menstruation? The causes of this can be any of the following:

  • Any abnormality in the brain or head trauma can also be one of the causes, though not necessarily in your case.
  • Hypothyroidism.
  • There may be a problem with the gonads that is the ovary.

There can be a few more, but it will be difficult for you to understand. So, first, we need to know the exact cause of why this is happening. So, the exact remedy can be given.

Your child may have early puberty and short stature. But one thing I must add is that I have not seen the child. After a proper examination of the child, a few tests have to be done to reach an exact cause.

Yes, there is a remedy once we reach the diagnosis. Some drugs can halt the progression. And your child can be perfectly normal depending upon the exact cause.

I am writing a few investigations that should be done. But, I suggest you see an endocrinologist, preferably a pediatric endocrinologist, if you find one, because the exact treatment can only be done after a thorough history and examination of your child.

Please let me know if you need any help.

Thank you.

Investigations to be done

1. LH (luteinizing hormone). 2. FSH (follicle-stimulating hormone). 3. MRI (magnetic resonance imaging) brain, ultrasound abdomen. 4. Thyroid levels.

Answered byDr. Payas Joshi

Medically reviewed byiCliniq medical review team

Published At July 15, 2016
Reviewed AtDecember 31, 2025

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