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Dr. Stephen Ponder, M.D.

Endocronologist (Pediatric)

Dr. Stephen Ponder M.D. is a top Endocronologist (Pediatric) in Odessa, . With a passion for the field and an unwavering commitment to their specialty, Dr. Stephen Ponder M.D. is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Stephen Ponder M.D. is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Stephen Ponder M.D. is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Odessa, TX, Dr. Stephen Ponder M.D. is a true asset to their field and dedicated to the profession of medicine.
35 years Experience
Dr. Stephen Ponder, M.D.
  • Odessa, TX
  • Univ of Tx Med Branch Galveston, Galveston Tx
  • Accepting new patients

My daughter has a slight swelling around her throat. Could it be a sign of a thyroid imbalance?

Swelling at the front center of the neck is often due to a goiter (enlarged thyroid gland). Whether or not an imbalance is present (too low or too high) depends on signs and symptoms. READ MORE
Swelling at the front center of the neck is often due to a goiter (enlarged thyroid gland). Whether or not an imbalance is present (too low or too high) depends on signs and symptoms. Some goiters represent problems within the gland, but the gland itself continues to produce thyroid hormone normally. In cases of low thyroid levels (hypothyroidism), the person may be experiencing signs and symptoms such as feeling cold, dry skin, dry brittle hair, constipation, and even heavy menstrual periods for teens and women. Weight gain might be mild at best, contrary to lore. If overactive (hyperthyroidism), signs and symptoms include rapid pulse rate, nervousness, irritability, forgetfulness, inability to focus, significant weight loss, frequent urination and loose stools. Children may experience a steep decline in academic performance or engage in unprecedented risk-taking behaviors. The best plan is to get a good history and physical examination with appropriate laboratory tests based on what is learned and discovered on exam.

How is juvenile diabetes managed in small children?

Have you read Sugar Surfing? It has some great ideas and directions.
www.sugarsurfing.com

Steve Ponder MD, CDE

Can an endocronologist recommend a diabetic diet for my child?

I highly recommend a pediatric dietitian who has a CDE credential (certified diabetes educator). Meal plans are best individualized in all persons living with diabetes.

Is it necessary to bring my child to an endocrinologist?

Start with your primary care doctor first.

How is congenital hypothyroidism treated?

This is unusual given her age, but management is by daily thyroid hormone medication to get and keep her blood levels in a normal range.

Can juvenile diabetes be cured?

At this time there is no true "cure" although a tremendous amount of effort is being put into finding better ways to manage it from day to day.

If my daughter has an overactive thyroid, will she be overweight?

Overactive thyroid is more likely to result in weight loss, not gain, over time.

My daughter is 12 years old and is obese. Do you suggest a bariatric surgery for her?

It often hinges on how many obesity-related diseases and complications she already has. Weight loss surgery is still done very infrequently in obese teens.

My daughter is 14 years old and hasn't gotten her period. The doctor says it's normal but I'm worried.

Assuming she has developed into a young adult body, it could take until age 16 before an in depth evaluation would be needed.

My son has vitamin D deficiency. What should I do?

Discuss with your doctor the use of over the counter vitamin d3 supplements. Often 400 to 800 IU daily is perfectly safe.

My daughter has increased TSH levels and is on thyronorm 25mg. Will it be a lifelong medication for her?

The answer to your question depends on the diagnosis. TSH can be elevated for many reasons, not only hypothyroidism. If it is due to autoimmune disease then it is more likely to READ MORE
The answer to your question depends on the diagnosis. TSH can be elevated for many reasons, not only hypothyroidism. If it is due to autoimmune disease then it is more likely to be a permanent condition. If it's associated with being overweight or obese, then weight loss might help lower the result if the highest the TSH ever got was 9 or less.

Why is son's height is not growing as per the health chart?

Several possibilities which range from benign to significant. The most common reason for this situation is constitutional growth delay, which is associated with a later onset of READ MORE
Several possibilities which range from benign to significant. The most common reason for this situation is constitutional growth delay, which is associated with a later onset of puberty. You already ruled out the most common reason: familial short stature. Less frequent, but serious problems include hormonal deficiencies, gastrointestinal disorders which can reduce
nutritional status, congenital heart disease and even some genetic syndromes. Assuming your child is overall healthy, CGD is a possibility based solely on how common it is. But the best action is to discuss with your son's doctor and decide if a referral to a pediatric endocrinologist would be in order.