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Pediatric Endocrinologist

Children`s Clinic
About the direction
Consultation of doctors

About the direction

Disorders of the endocrine system are very common in children and adolescents. With timely diagnosis, most of them can be treated and corrected.

A pediatric endocrinologist in Moscow takes part in the Department of Endocrinology at the EMC Children's Clinic. We offer comprehensive diagnostics and treatment of all types of diseases of the endocrine system.

  • Diagnosis and treatment of diseases of the endocrine system of children
  • Instrumental and laboratory tests, including specialized ultrasound examinations, functional tests
  • Doctors with extensive experience working with children

The endocrine system in children does not work at all the way it does in adults, so the doctor cannot be easily "replaced" by an adult.

The most important endocrine glands in children are:

  • Pituitary gland

    It controls all other glands of the body, but most importantly, it secretes a somatotropic hormone that regulates human growth

  • Adrenal glands

    They provide vigor to the child, his resistance to stress and stress, control blood pressure and play a very important role in puberty

  • Thyroid gland

    The main organ responsible for the intensity of metabolism, mood, vivacity and, to some extent, the tone of the autonomic nervous system

  • Pancreas

    In addition to digestive enzymes (the field of gastroenterology), it secretes insulin, a hormone that controls the absorption of carbohydrates (glucose or blood sugar)

  • Sex glands

    Responsible for development and puberty

Thyroid diseases

One of the most common problems is thyroid disease. Very often, during a medical examination, a child is referred to an endocrinologist with suspected goiter. This situation should not be very frightening, but it requires mandatory examination, since chronic autoimmune thyroiditis, congenital hypothyroidism, thyroid nodules occur in;children quite often.

Problems of growth and sexual development

The endocrinologists of the EMC Clinic also diagnose, treat, and monitor patients with growth and sexual development problems:

  • Premature sexual development

    Premature adrenarche is an early appearance of pubic hair, premature telarche is an enlargement of the mammary glands, and other forms of premature and accelerated sexual development

  • Stunted growth and sexual development

    STH deficiency, constitutional and idiopathic stunting

  • Menstrual cycle disorders

    Teenage girls have excessive hair growth, acne, and oily seborrhea

  • Gynecomastia

    Breast enlargement in boys

  • Cryptorchidism

    Non-descent of the testicles into the scrotum

  • Hypospadiya

Diabetes mellitus

But perhaps the most important disease that a pediatric endocrinologist deals with is diabetes mellitus. Pediatric diabetology is a separate field at the intersection of pediatrics and endocrinology, requiring a special approach to the patient. Type 1 diabetes mellitus is a disease in which the cells of the pancreas lose their ability to secrete insulin, resulting in increased blood sugar levels, constant thirst, frequent urination, weakness, and weight loss. This type of diabetes is usually caused by children. Currently, the only method of diabetes treatment is continuous administration of insulin. Treatment should be continuous throughout life. The EMC Children's Clinic provides outpatient and inpatient treatment for young patients with type 1 diabetes mellitus, including emergency care for ketoacidosis in children.

Modern medical technologies— insulin pumps, continuous glycemic monitoring devices, glucose meters— can significantly improve the quality of life of children and adolescents with type 1 diabetes mellitus, but still the most important link in successful The treatment of diabetes remains the proper education of the patients themselves and their parents, mutual understanding and constant contact with the endocrinologist.

Physical inactivity and poor nutrition inevitably lead to excess weight. Obesity in children is one of the main problems that are increasingly being addressed by an endocrinologist. It is important to determine what is the root cause of excess weight: hormonal disorders or poor nutrition. Pediatric endocrinologists at the EMC clinic will conduct an examination of the child, regarding the possible causes of weight gain, and will give recommendations on diet.

Consultation of doctors

Consultation of a pediatric endocrinologist at the EMC

At the initial appointment, a pediatric endocrinologist will examine the child, collect an anamnesis, perform palpation of the thyroid gland and lymph nodes, and prescribe the necessary tests.

The EMC Clinic has all the capabilities for a complete diagnosis of diseases of the endocrine system — all types of instrumental and laboratory tests are performed here, including specialized ultrasound examinations, functional tests such as stimulation of growth hormone release, glucose loading test, insulin test and others.

A pediatric endocrinologist deals with two of the five congenital diseases for which universal newborn screening is carried out. These include congenital hypothyroidism (insufficient thyroid function) and congenital dysfunction of the adrenal cortex (adrenogenital syndrome). Sometimes the screening results raise questions from parents and require additional specialist advice. EMC pediatric endocrinologists will help you interpret the test results correctly and, if necessary, prescribe treatment.

We also offer a complete examination and treatment of children with rare endocrine diseases: congenital dysfunction of the adrenal cortex, adrenal insufficiency, tumors of the neuroendocrine system, pathology of phosphorus-calcium metabolism, disorders of sex formation, hypoglycemic syndrome, congenital syndromic pathology (Klinefelter, Turner, Noonan, Mac syndrome John Albright, Cushing, and others).

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EMC is a multidisciplinary center offering patients a high level of medical services and a personalized approach

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Questions and answers

Are there any disadvantages of bariatric surgery?
The disadvantages of bariatric surgery include: the risk of possible complications and medical errors if the operation is performed by an insufficiently qualified surgeon; lifelong changes in the anatomy will be impossible to restore the original state of the digestive
tract; the high cost of the operation.
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Is it possible to recover after bariatric surgery?
In some cases, patients can gain several kilograms back within 7-10 years after surgery. This is usually due to non-compliance with dietary recommendations offered by the attending physician after surgery, or to psychological causes of obesity, for example, in patients with an eating disorder.
How fast does weight go away after bariatrics?
According to research, during the first month after bariatric surgery, a patient can lose up to 17% of excess body weight. For example, for a patient who weighs 115 kg with an ideal weight of 70 kg, weight loss in the first month may be 7.5kg. Six months after surgery, most patients lose more than half of their
excess weight.
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How many days will you have to stay in the hospital after surgery?
Depending on the type of surgery, patients spend an average of up to 4 days in the hospital.
Which operation is most effective?
Gastric bypass surgery is considered the most effective method of bariatric surgery, which allows you to lose up to 75% of excess body weight. The preferred type of intervention, taking into account the indications and individual characteristics of the patient, will be selected by the doctor based on the results of a
preliminary examination of the patient.
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Моей дочери был поставлен диагноз преждевременное половое развитие. На данный момент девочке 7 лет. У нее вторичные признаки - оволосение в подмышечных впадинах и паху. Меня очень беспокоит ее состояние. Мы неоднократно делали УЗИ надпочечников, органов малого таза, рентген кистей рук (опережал паспортный возраст на 1-2 года), сдавали анализы на гормоны, делали пробу с дефирилином и даже делали МРТ в вашей клинике, чтобы исключить аденому гипофиза. Ничего не подтвердилось. Мы решили оставить ребенка в покое, поскольку и врачи ничего сказать не могли, кроме как - наблюдайте, возможно, это просто особенность организма вашего ребенка. С тех пор прошел год, даже чуть больше. И сейчас вторичные признаки усилились. Я боюсь пропустить момент, когда нужно начинать лечение (если его нужно начинать), поскольку не хочу, чтобы у дочери были проблемы роста и другие осложнения. Ситуация также осложняется тем, что мы не в Москве, и где найти грамотного специалиста, я не знаю. Можно ли пройти у вас обследование? Сделать пробу с диферелином? Понять, нужно ли лечить ребенка и что делать дальше.

Ситуация с неполной формой преждевременного полового развития всегда непростая - с одной стороны нужно не упустить время, с другой - не назначить лишнего. Здесь важно все взвесить и обсудить риски и преимущества лечения. Мы будем рады видеть вас в Детской клинике ЕМС, где возможно полное обследование и лечение
детишек с такой проблемой (пробу с диферелином мы, конечно, проводим). Просьба оставить на этот визит хотя бы 2-3 дня, чтобы было время все организовать, а главное - обсудить результаты. Все предыдущие исследования вы можете выслать на почту ассистентов отделения эндокринологии.
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