Dr. Bert E. Bachrach, MD is a pediatrician in Columbia, MO specializing in general pediatrics and pediatric endocrinology. He graduated from St. Louis University School of Medicine. Dr. Bert E. Bachrach, MD is affiliated with University of Missouri Health Care, Mercy and THE CURATORS OF THE UNIVERSITY OF MISSOURI.
1020 Hitt Street
Columbia, MO
1021 Hitt Street
Columbia, MO 65212
1101 Hospital Drive
Columbia, MO 65212
1965 S. Fremont Avenue Suite 300
Springfield, MO 65804
404 N. Keene Street Suite 101
Columbia, MO 65201
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. Bert E. Bachrach, MD graduated from St. Louis University School of Medicine. He completed residency at Cardinal Glennon Children's Medical Center. He is certified by the American Board of Pediatrics and has a state license in Missouri.
Medical School: St. Louis University School of Medicine
Residency: Cardinal Glennon Children's Medical Center
Board Certification: American Board of Pediatrics
Licensed In: Missouri
Dr. Bert E. Bachrach, MD is associated with these hospitals and organizations:
Dr. Bert E. Bachrach, MD has an exceptional overall rating with an average of 5.0 out of 5 stars based on 1 ratings. We collect ratings and reviews of Dr. Bert E. Bachrach, MD from all over the web to help you find the right in Columbia, MO.
I brought the child under my care to see Dr. Bachrach after being referred by her pediatrician. Dr. Bachrach was easy to talk to and clearly an expert. I appreciated that he listened thoroughly to all concerns and did a comprehensive work up. He even provided personal follow-up instead of having a staff member contact us with results. Highly recommend.
These charts describe general payments received by Dr. Bert E. Bachrach, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
Abbott Laboratories |
$159
FREESTYLE LIBRE 3 $112 |
FreeStyle Lite system $47 |
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Tandem Diabetes Care, Inc. |
$152
t-slim insulin pump $152 |
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BioMarin Pharmaceutical Inc. |
$91
VOXZOGO $91 |
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Novo Nordisk Inc |
$71
Norditropin $71 |
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Pfizer Inc. |
$48
GENOTROPIN $48 |
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Other |
$38
SKYTROFA $15 |
Lupron $12 |
LANTUS $11 |
Food and Beverage | $381 |
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Education | $178 |
Dr. Bert Bachrach practices pediatric endocrinology and general pediatrics in Columbia, MO and Springfield, MO. Areas of particular interest for Dr. Bachrach include calcium metabolism disorder, growth problems, and thyroid problems. His hospital/clinic affiliations include the University of Missouri (MU) Health Care and Mercy (Arkansas, Kansas, Missouri, and Oklahoma). Dr. Bachrach is a graduate of St. Louis University School of Medicine. His medical residency was performed at Cardinal Glennon Children's Medical Center. According to University of Missouri , Dr. Bachrach is currently accepting new patients at his office in Columbia, MO.