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Dr. Eray Gurol, MD is a pediatrician in Newton, MA specializing in general pediatrics and pediatric endocrinology. She graduated from Istanbul University, Istanbul Faculty of Medicine. Dr. Eray Gurol, MD is affiliated with Newton-Wellesley Hospital, Massachusetts General Hospital and MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC.
2014 Washington Street
Newton, MA 02462
55 Fruit Street Yawkey 6800
Boston, MA 02114
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. Eray Gurol, MD graduated from Istanbul University, Istanbul Faculty of Medicine. She is certified by the Pediatric Endocrinology, American Board of Pediatrics and has a state license in Massachusetts.
Medical School: Istanbul University, Istanbul Faculty of Medicine
Board Certification: Pediatric Endocrinology, American Board of Pediatrics
Licensed In: Massachusetts
Dr. Eray Gurol, MD is associated with these hospitals and organizations:
Dr. Eray Gurol, MD appears to accept the following insurance providers: Harvard Pilgrim Health Care, MultiPlan, United Healthcare, Tufts Health Plan, Aetna, TRICARE, Medicare, Medicaid, Humana, Coventry, Cigna, Blue California, Beech Street, WellPoint, Medicare ACO, WellSense, Senior Whole Health, Fallon Health, Commonwealth Care Alliance, Blue Cross Blue Shield Medicare, NH Healthy Families, Maine Community Health Options, Mass General Brigham Health Plan, MassHealth, WellSense NH and Blue Cross Blue Shield NH.
According to our sources, Dr. Eray Gurol, MD accepts the following insurance providers:
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These charts describe general payments received by Dr. Eray Gurol, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$151
Minimed 670G System $151 |
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Dr. Eray Gurol's areas of specialization are pediatric endocrinology and general pediatrics; she sees patients in Boston, MA and Newton, MA. Dr. Gurol's clinical interests include growth problems, thyroid problems, and type 2 diabetes. She appears to be an in-network provider for Blue California, Coventry, Viant, and more. She graduated from Istanbul University, Istanbul Faculty of Medicine. Dr. Gurol is conversant in Turkish. Her professional affiliations include Massachusetts General Hospital and Newton-Wellesley Hospital.
