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Dr. Vibha Singhal, MBBS, MD is a pediatrician in Danvers, MA specializing in general pediatrics and pediatric endocrinology. She graduated from All India Institute of Medical Sciences. Dr. Vibha Singhal, MBBS, MD is affiliated with Newton-Wellesley Hospital, Massachusetts General Hospital and MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC.
102-104 Endicott Street
Danvers, MA 01923
50 Staniford Street 4th Floor
Boston, MA 02114
55 Fruit Street
Boston, MA 02114
Anorexia
Anorexia nervosa, commonly referred to as anorexia, is a disorder where people severely restrict the types and quantity of food they eat. People with anorexia have an extreme fear of eating and gaining weight, and may perceive weight loss as a way to achieve happiness. They may repeatedly weigh themselves or engage in harmful behaviors such as excessive exercise or starvation. Those with anorexia often find themselves preoccupied with food, but unable to consume a normal amount of it, resulting in symptoms such as:
-Abnormally low BMI (body mass index)
-Vitamin deficiency
-Fatigue
-Fainting
-Amenorrhea (lack of menstruation in women)
-Emaciation
-Poor wound healing
-Anemia
-Irregular heart rhythms
Anorexia may also cause bluish discoloration of the hands, brittle and falling out hair, yellowish skin, and lanugo (fine, downy hair). These physical symptoms are frequently accompanied by altered behaviors and emotions. Those with anorexia may feel compelled to hide their weight and actions from others. For example, someone with anorexia may wear oversized or baggy clothing to conceal weight loss or may deny hunger or lie about the amount of food that he or she consumes. Some people with anorexia may withdraw from social activities and may experience irritability and depression.
People of all ages, genders, and races may be diagnosed with anorexia; however, the condition affects more women than men. There is no single known cause for anorexia, but biological, psychological, and environmental factors may play a role. Athletes who participate in certain sports that emphasize body shape and size (such as ballet, figure skating, and wrestling) may be more likely to develop anorexia.
Anorexia has two subtypes that are referred to as the restrictive type and binge-purge type.
Restrictive type is the more frequently represented form of anorexia, involving the extreme restriction of food. Binge-purge type anorexia is food restriction accompanied by episodes of binging (eating large quantities of food) and purging (vomiting). Binge-purge type anorexia differs from bulimia as people with this type of anorexia severely limit calories and purge most of what they eat and are generally underweight, while those with bulimia are in a normal weight range. Left untreated, both types of anorexia have severe and life-threatening effects on health. Anorexia can lead to heart failure and even death.
Many people do not consciously develop anorexia, and have difficulty seeking treatment. For this reason, early detection and treatment helps with long-term recovery outcomes. Treatment for anorexia can vary from therapy visits to inpatient treatment, depending on the severity of a person's anorexia. Severe anorexia is typically treated in inpatient rehabilitation facilities, where patients increase their food consumption and gain weight under medical supervision. Eating disorder specialists provide therapy sessions and oversee a physical and mental treatment plan. Outpatient programs help patients return to a healthy weight through frequent talk therapy or cognitive behavioral therapy (CBT) sessions, specialized nutrition plans, and eating disorder support groups. Anorexia treatment aims to not only restore physical health and correct negative behaviors, but to also promote psychological well-being and self-confidence.
Thyroid Problems
Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.
When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:
Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.
Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.
Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.
The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.
Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.
Dr. Vibha Singhal, MBBS, MD graduated from All India Institute of Medical Sciences. She completed residency at Mayo Clinic. She is certified by the Pediatric Endocrinology, American Board of Pediatrics and has a state license in Massachusetts.
Medical School: All India Institute of Medical Sciences
Residency: Mayo Clinic
Board Certification: Pediatric Endocrinology, American Board of Pediatrics
Licensed In: Massachusetts
Dr. Vibha Singhal, MBBS, MD is associated with these hospitals and organizations:
Dr. Vibha Singhal, MBBS, MD appears to accept the following insurance providers: Harvard Pilgrim Health Care, MultiPlan, Tufts Health Plan, United Healthcare, Aetna, Unicare, TRICARE, Medicare, Medicaid, Humana, Coventry, Cigna, Blue California, Beech Street, Medicare ACO, WellSense, Senior Whole Health, Fallon Health, Commonwealth Care Alliance, Blue Cross Blue Shield Medicare, Maine Community Health Options, Mass General Brigham Health Plan, MassHealth and WellSense NH.
According to our sources, Dr. Vibha Singhal, MBBS, MD accepts the following insurance providers:
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These charts describe general payments received by Dr. Vibha Singhal, MBBS, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
Lilly USA, LLC |
$515
$515 |
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Merck Sharp & Dohme Corporation |
$417
NON-PRODUCT $417 |
Novo Nordisk Inc |
$106
Wegovy $106 |
Food and Beverage | $523 |
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Travel and Lodging | $515 |
Dr. Vibha Singhal, MBBS, MD has received 7 research payments totaling $4,937.
Dr. Vibha Singhal is a specialist in pediatric endocrinology and general pediatrics in Boston, MA and Danvers, MA. Clinical interests for Dr. Singhal include growth problems, menstrual disorders, and thyroid problems. She appears to be in-network for Blue California, Coventry, and Viant, in addition to other insurance carriers. Before completing her residency at Mayo Clinic, Dr. Singhal attended medical school at All India Institute of Medical Sciences. In addition to English, Dr. Singhal (or staff) speaks Hindi and Punjabi. Her hospital/clinic affiliations include Massachusetts General Hospital and Newton-Wellesley Hospital. Unfortunately, according to Massachusetts General Hospital, she is not currently accepting new patients.