Endocrinology

Overview

The Department of Endocrinology at Sir H. N. Reliance Foundation Hospital is dedicated to caring for individuals with hormonal and metabolic disorders across all age groups.

Our expert team of endocrinologists, diabetic educators, and support staff works together to provide comprehensive care for various hormone-related conditions, such as diabetes, thyroid disorders, obesity, osteoporosis, and disorders related to adrenal, pituitary, and reproductive glands.

With a patient-centred approach through innovative diagnostics and advanced medical care, we aim to improve the lives of individuals and provide guidance for lifelong health.

We offer advanced treatments such as insulin therapy, continuous glucose monitoring (CGMS), and hormone replacement therapy. By partnering with other specialities in the hospital, we ensure holistic healing and coordinated care for our patients.

Location: Level 2, Heritage Building

Timings: 08:00 am – 08:00 pm

Our Services

We offer a wide range of services to diagnose, treat, and support patients with hormonal and metabolic (body chemistry) disorders. Services provided by us include:

We use advanced diagnostic techniques for accurate and timely identification of hormone-related issues.

Blood and hormone testing :
These tests measure hormone levels in your blood to check how different glands are working:
- Thyroid function tests (TSH, T3, T4) to check the functioning of the thyroid gland.
- Blood sugar and HbA1c levels, which help track blood sugar levels and diabetes control over time.
- Cortisol and adrenal function tests to check stress hormone levels and adrenal gland function.
- Reproductive hormone tests for oestrogen, progesterone, testosterone, luteinizing hormone (LH), follicle-stimulating hormone (FSH), and prolactin
- Growth hormone tests to check for growth issues in children or adults.
Dynamic hormone testing :
These tests show how your body responds to sugar or hormone stimulation:
- Glucose tolerance test (GTT) to check for diabetes or insulin resistance.
- ACTH stimulation test to evaluate if your adrenal glands produce enough cortisol hormone.
- Suppression and stimulation tests to detect hormonal imbalances
Imaging services
We use scans and imaging to observe glands and bones:
- Thyroid and parathyroid ultrasound to check for lumps or nodules
- Bone density scan (DEXA) to assess bone strength for osteoporosis
- MRI or CT scans to show details of the adrenal or pituitary glands.
- Thyroid scan (99mTc) to help detect thyroid dysfunction or cancer
Biopsies
- Fine needle aspiration (FNA), which is a safe, quick test using a thin needle to examine thyroid lumps.

We provide advanced medical therapies and interventions tailored to each patient's condition:

Medications
- Insulin and oral tablets for controlling blood sugar in diabetes
- Hormone replacement therapy for underactive thyroid, adrenal, or sex hormones
- Medicines for bone health, such as bisphosphonates for osteoporosis
- Targeted therapies for hormone-related can
Minimally invasive procedures
- Radioactive iodine therapy to treat an overactive thyroid and selected thyroid cancer
- Ultrasound-guided procedures, which are less painful treatments for thyroid conditions such as fine-needle alcohol ablation for benign thyroid cysts.
Lifestyle and nutritional support
- Weight management programs, including medications and dietary guidance
- Comprehensive care for metabolic syndrome, which is a combination of conditions like high blood pressure, sugar, and cholesterol.
Advanced diabetes technologies
- Continuous glucose monitoring system (CGMS) to track sugar levels throughout the day.
- Insulin pump therapy to deliver insulin automatically for better sugar control.

We believe that informed patients make better health choices. Our education programs guide patients through every step of their treatment journey.

Diabetes education and self-management programs:
- Comprehensive training on insulin uses and blood sugar monitoring
- Dietary planning and exercise-related counselling for optimal diabetes control
Bone health workshops:
- Education on osteoporosis prevention and treatment
- Education on fall prevention and strength-building exercises
Thyroid health awareness:
Guidance on managing hypothyroidism, hyperthyroidism, and thyroid cancer
Weight management support groups:
Collaborative programs combining diet, exercise, and behavioural therapy
Paediatric endocrine counselling:
Support for parents managing children’s growth and developmental disorders
Online and in-person resources:
Access to webinars, educational materials, and one-on-one consultation with specialists.

Speciality Clinic
Technology & Infrastructure
Conditions We Treat

Specialised Diabetic Foot Care Clinic

The Diabetic Foot Care Clinic is a dedicated service focused on the prevention and management of foot complications associated with diabetes. Diabetes can affect circulation and nerve function in the feet, increasing the risk of infections, ulcers, and severe complications.

Our clinic provides thorough foot assessments, advanced medical treatments, and customized education on proper foot hygiene and footwear to minimize risks and promote better outcomes for the patients.

With regular monitoring and guidance provided at every step of the wellness journey, we ensure our patients' better health and mobility.

We are equipped with the latest medical technologies to ensure accurate diagnosis and effective treatment of endocrine disorders. From advanced hormone testing and imaging to modern insulin delivery systems and continuous glucose monitoring, our tools are designed to make your care more precise, comfortable, and personalized.

The Endocrinology Department specializes in the diagnosis and treatment of a broad spectrum of hormonal and metabolic disorders. Below is an overview of the conditions managed by our department:

1. Diabetes and blood sugar disorders

Type 1 diabetes: A lifelong condition where the body stops making insulin, requiring daily insulin injections.
Type 2 diabetes: A common form of diabetes where the body does not use insulin properly.
Gestational diabetes: High blood sugar that develops during pregnancy and usually resolves after delivery.
Prediabetes: A warning stage before diabetes, where blood sugar is slightly higher than normal.
Insulin resistance: A condition where the body does not respond well to insulin, often a precursor to diabetes.
Diabetic Foot: Foot problems due to poor circulation and nerve damage in diabetes, requiring careful management.

2. Thyroid disorders

Hypothyroidism (underactive thyroid): When the thyroid does not produce enough hormones, causing tiredness and weight gain.
Hyperthyroidism (overactive thyroid): When the thyroid makes too many hormones, leading to weight loss and anxiety.
Thyroid nodules: Small lumps in the thyroid that may need testing to rule out cancer.
Goitre: An enlarged thyroid gland that can cause swelling in the neck.
Thyroid cancer
Hashimoto’s thyroiditis: An autoimmune condition that causes underactive thyroid.
Graves’ disease: An autoimmune condition that causes the thyroid to become overactive.

3. Adrenal gland disorders

Addison’s disease (adrenal insufficiency): When the adrenal glands do not make enough hormones, causing fatigue and low blood pressure.
Cushing’s syndrome: When there is excessive cortisol hormone in the body, causing weight gain, weakness, and mood changes.
Pheochromocytoma (adrenal tumour): A rare tumour that causes sudden high blood pressure and other symptoms.
Congenital adrenal hyperplasia (CAH): A genetic disorder affecting hormone production in the adrenal glands.

4. Pituitary gland disorders

Pituitary tumours: Abnormal growths in the pituitary that may affect vision or hormone balance.
Acromegaly: Excessive growth hormone production in adults, leading to enlarged hands, feet, and facial features.
Prolactinoma: A benign tumour causing high prolactin levels, which can affect periods or fertility.
Hypopituitarism (underactive pituitary gland): When the pituitary gland does not produce enough hormones.
Diabetes insipidus: A rare condition causing extreme thirst and frequent urination, unrelated to blood sugar.

5. Metabolic bone disorders

Osteoporosis: Weak and brittle bones that are more likely to fracture.
Osteopenia: Lower than normal bone density, often a warning sign before osteoporosis.
Paget’s disease of bone: Abnormal bone growth that may cause pain or deformity.
Hyperparathyroidism: Too much parathyroid hormone, leading to high calcium and bone loss.
Hypoparathyroidism: Low parathyroid hormone levels causing low calcium and muscle cramps.
Vitamin D deficiency: Low levels of vitamin D that can weaken bones and the immune system.

6. Reproductive and hormonal disorders

Polycystic ovary syndrome (PCOS): A hormonal disorder causing irregular periods, weight gain, and acne.
Menstrual irregularities: Periods that are too frequent, too rare, or heavy due to hormonal imbalance.
Male hypogonadism: Low testosterone levels in men causing fatigue, low libido, or infertility.
Female hormonal imbalances: Low oestrogen or progesterone affecting mood, cycles, or fertility.
Infertility related to hormonal causes: Difficulty conceiving due to hormone disruption.

7. Obesity and metabolic disorders

Obesity (hormonal/metabolic causes): Weight gain linked to hormone imbalances, not just lifestyle.
Metabolic syndrome: A group of risk factors including high blood sugar, blood pressure, and cholesterol.
Lipid disorders: High cholesterol or triglycerides that raise heart disease risk.

8. Paediatric endocrinology

Growth hormone deficiency: Slow growth in children due to lack of growth hormone.
Early or delayed puberty due to hormonal imbalance.
Congenital hypothyroidism: A thyroid problem present at birth that affects growth and development.
Type 1 diabetes in children: Autoimmune diabetes diagnosed in children, requiring lifelong insulin.
Rare congenital endocrine disorders: Genetic hormone disorders present from birth.

9. Other rare endocrine disorders

Multiple endocrine neoplasia (MEN) syndrome: A genetic condition causing tumours in multiple hormone glands.
Hirsutism (excessive hair growth): Unwanted male-pattern hair growth in women due to hormone imbalance.
Androgen excess or deficiency: Too much or too little male hormone, affecting both men and women
Endocrine-related hypertension: High blood pressure caused by hormonal disorders.