Dr. Javier Tébar Massó

Dr. Javier Tébar Massó
Endocrinology, Diabetes & Metabolism
Murcia


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Dr. Javier Tébar Massó Endocrinologist
Murcia

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Dr. Javier Tébar Massó areas of expertise:

Professional statement

Dr. Tébar Masso is an expert specializing in thyroid, neuroendocrine tumors, diseases such as diabetes and obesity, an expert on lipids and cardiovascular risks endocrinologist. The doctor is a great promoter, as has conducted multiple presentations at national and international conferences and has written over a hundred articles in professional journals. The endocrine Tébar Masso is also a great interest in research and has directed 13 doctoral theses throughout his career.

*Translated with Google translator. We apologize for any imperfection


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La Punción y Aspiración con Aguja Fina (PAAF) se emplea para explorar lesiones en la glándula tiroides y estudiar su alcance.
Punción y Aspiración con Aguja Fina (...

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 Credentials

GMC: 303000833

 Professional experience

• More than 40 years of experience
• Head of the Endocrinology and Nutrition Service (2007 - 2015)
• Acting Section Chief and Head of Section at the Virgen de la Arrixaca University Hospital (1982-1987) and (1987-2007).
• Associate Physician of the Section of Endocrinology and Nutrition (1977-1982).
• MIR of Internal Medicine - Endocrinology and Nutrition (1974-1977).

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 Teaching posts

• Postgraduate in the specialty of Endocrinology and Nutrition, taught by the MIR route at the University Hospital Virgen de la Arrixaca of Murcia since 1984.
• Secretary of the Department of Medicine in the years 2002-2009.
• Direction of more than 10 doctoral theses qualified with outstanding Cum Laude.
• Professor of Medicine

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 Education

• Bachelor of Medicine and Surgery from the University of Granada (1967-1973).
• Doctor in Medicine and Surgery from the University of Murcia with outstanding Cum Laude (1982).

 Publications and conferences

• More than 100 publications in specialized magazines.
• Author of more than 60 book chapters.
• More than 150 communications in national and international conferences.
• Speaker in more than 80 courses and seminars in his specialty.

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 Prizes and awards

• Medal for academic dedication, awarded by the University of Murcia in 2007.

 Professional membership

• Member of the Assistance Commission of the SEEN.
• President for 3 years and current member of the MEN Working Group of the SEEN.
• Member of the Spanish Society for the Study of Obesity (SEDO).
• Member of the Spanish Arteriosclerosis Society (SEA).
• Partner of Murcian Society of Endocrinology Metabolism and Nutrition.
• Member of the Spanish Society of Endocrinology and Nutrition (SEEN).
• Member of the Spanish Diabetes Society (SED).

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Languages spoken

  • Spanish

*Translated with Google translator. We apologize for any imperfection

Patient reviews for Dr. Javier Tébar Massó

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12/04/2018

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12/03/2018

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Profesional, practica y amable

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28/02/2018

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07/02/2018

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Diseases, Medical Tests and Treatments

Diabetes

Diabetes is a disease characterized by a significant increase in blood glucose levels (hyperglycemia ), whose symptoms are usually fatigue, emaciation ...

Metabolic syndrome

Metabolic syndrome, or plurimetabolic syndrome is the association of different health problems that can occur simultaneously or in a sequence in the s ...

Obesity

Obesity is a disease characterized by the presence of an excess of fat mass (fat) in the body and for weight gain, usually due to a disproportionate f ...

Pathology of puberty

Puberty is the period, after childhood, between 9 and 20 years old approximately. At this stage psychological, biological, sexual and social changes, ...

Thyroid

The thyroid is an endocrine gland that produces hormones. These control the rate at which the body burns calories or heartbeat. The thyroid gland may suffer various diseases: The thyroid is enlarged Hyperthyroidism: When the gland produces more thyroid hormone than necessary Hypothyroidism occurs when not enough hormone Thyroid cancer Thyroid nodules: lumps in the gland Thyroiditis: swelling of the gland ...

Adrenal glands disorders

The adrenal glands are essential for a life that lie at the back of the kidneys. Produce, among others, some sex hormones, and particularly hormones that regulate metabolism and cortisol, which helps us respond to stress, and other hormones that control blood pressure and the presence of water and salt in our body. Sometimes there is an excessive or insufficient production of these hormones, causing some of the disorders of the adrenal glands, which are detected through urinalysis and blood. For example, when there is excess cortisol or overactive adrenal cortex we are faced with Cushing's syndrome, which is caused due to the intake of drugs or the development of some tumors and symptoms well defined (legs and very thin arms, fatigue, high blood pressure, blood glucose, bruises all over his body, etc). It is cured by treating the source that causes the disease. Otherwise, inadequate cortisol or underactive suprarrrenal crust, causing the so-called Addison's disease, which arises from an immune problem and requires treatment for life as it can be fatal if not properly treated. ...

Breastfeeding Diet

Pregnancy and breastfeeding are two moments in the life of women in the caloric needs are increased by the intrauterine fetal growth, in the first case and the preparation for milk production in the second. This requires a dietary adaptation to the new situation that will be given by the monitoring of a nutrition during pregnancy and lactation diet to ensure proper welfare of mother and child. In both cases, you should follow a balanced diet of 5 meals a day, with plenty of fresh produce (fruits, vegetables), vitamins, cereals, legumes, few sugars and fats, and an extra supply of nutrients during pregnancy of 300 kcal and 500 kcal in infancy. In no case it is healthy eating less or more of the recommended by the specialist to avoid excessive weight loss or to the mother. Also during pregnancy it is also required an extra intake of vitamin B12, iron, and in some cases, calcium. The food that the mother consumes during pregnancy and lactation shape the overall health of the baby and favor the quality of breast milk. ...

Celiac

Celiac disease is a disease characterized by permanent intolerance to gluten, a glycoprotein present in wheat, barley, rye and oats. It occurs in genetically predisposed individuals suffering from atrophy to the villi of the small intestine, making it difficult to absorb nutrients from some foods. Depending on the degree of intolerance, some other symptoms occur and it is possible that none of them is present. Still, the most common manifestations of this disease are gastrointestinal problems, iron deficiency and colitis. In cases where no apparent signs occur but is diagnosed through routine screening once to avoid eating gluten, the patient will experience a great improvement both physical and mental. ...

Childhood Obesity

Obesity is a disorder of the weight of a person is above what is considered healthy based on their height. Today, childhood obesity is a problem that affects a large number of developed countries where the number of children and adolescents who are overweight is rising alarmingly. Obese children may have serious health problems in adulthood, and heart disease, diabetes, asthma, high cholesterol, sleep apnea, etc. In addition to the physical consequences, childhood obesity can also involve psychological problems such as low self-esteem, depression or feelings of inferiority, which prevent the child to interact with others and limit their social relationships. Sometimes the weight problem may be caused by a disease or an imbalance of hormones, but more often it is by a poor diet, hence the importance of instilling healthy habits to children. ...

Cholesterol

Cholesterol is a sterol (lipid or fat) that the human body needs to function properly, but too much cholesterol in the blood is bad because it can cause heart disease and stroke, among other problems. The cholesterol tends to increase with age but usually causes no symptoms, only detected with a blood test. People with family history of overweight or consuming lots of high-fat meal are very likely to have high cholesterol levels. You can lower cholesterol by performing exercise and consumption of fruits and vegetables. ...

Diabetes Diet

  Diabetes nutrition should be the basic principle of all those patients who wish to have a good control of the disease in both type I diabetes, or insulin, as in type II. The diabetic patient should meet their nutritional needs with nutritionist and establish the foundations for proper control of the disease, based on three pillars: diet, insulin and exercise. Depending on the dose of insulin required (in cases of type I diabetes) and exercise or daily activity carried out in addition to consider other aspects such as developing other diseases diet will be personalized. Furthermore, in diabetes diet 5 meals a day are performed, to always be possible at the same time, in amounts somewhat lower than usual, without neglecting any of the food groups (carbohydrates, fruit, vegetables, proteins, fats, vitamins and minerals, and water) and balancing carbohydrate intake (65%), protein (15%) and fat (30%). Besides, avoid foods high in cholesterol (sausages and fats) and try to always eat fresh food (never prepared), and control the presence of chromium, zinc and sodium in the diet. Regarding called diabetic food, despite being considered suitable for diet, it is not advisable abused are prepared as products. ...

Diseases of the Pituitary and Hypothalamus

The pituitary is the gland that regulates most of biological processes in the body. It is where the hormones that regulate the reproductive organs, glands and other body developmental stages originate. This gland consists of the anterior pituitary gland, which secretes somatotropin filtered and thyrotropin, prolactin, adrenocorticotropic and gonadotropin, and the posterior pituitary gland, which secretes vasopressin and oxytocin. In children, hipopituitarismos are serious diseases, should not administer treatment can have irreversible consequences. Another pathologies that may suffer are pituitary tumors. ...

Growth Hormone

Excess secretion of growth hormone disorders often causes certain known with the names of gigantism or acromegaly, characterized by abnormal body growth. When this adrenal disease occurs during the age of growth, before the bony plates have closed, it is called gigantism and the most common cause that causes this disease is a benign tumor that occurs in the pituitary and generates this hormone in excess; if it occurs after this period, it is called acromegaly. Children who suffer from this disease are often extremely large for his age. Some of the symptoms that affected by excessive secretion of growth hormone may be delayed puberty, front and mandibular prominence, large hands and feet with thick fingers, weakness, shortness of side vision, etc. ...

Hypercholesterolemia

Hypercholesterolemia is the presence of blood cholesterol above normal levels. This increase is often associated with heart problems, diet, sex, lifestyle and endogenous synthesis. Thus the concentration of blood cholesterol hereditary and dietary factors involved, along with other related physical activity. We can distinguish two types of hypercholesterolemia. Primary, derived from problems with cholesterol transporters systems and genetic factors, and the secondary, where the increase in cholesterol is associated with certain liver, endocrine and kidney disease. ...

Hyperparathyroidism

  Hyperparathyroidism is a disorder in which the parathyroid glands produce excess hormones. These glands are located next to the thyroid produces hormones that are responsible for controlling the levels of calcium, phosphorus and vitamin D in bone. The production of too much parathyroid hormone (PTH) causes an increase in blood calcium levels, which can affect various organs and produce: primary hyperparathyroidism, which consists of a benign tumor in the parathyroid gland; secondary hyperparathyroidism, usually affecting patients with vitamin D deficiency or renal failure; or tertiary hyperparathyroidism with people suffered serious kidney failure requiring dialysis or performing in very advanced cases, kidney transplant or surgery. Treatment for hyperparathyroidism include exercise, fluid intake and vitamin D, as well as the removal of the gland (in some cases), the administration of medication. This treatment must be personalized, dpendiendo patient. ...

Hyperthyroidism

  Hyperthyroidism is a metabolic disorder in which the thyroid gland hormones excreted excessively. The most common symptoms of hyperthyroidism are a global increased metabolism, increased heart rate, arrhythmias, insomnia, irritability, nervousness, heat intolerance, weight loss, tremors, tachycardia and, sometimes, a protrusion of the eyeballs. Moreover, hypothyroidism is decreased production of thyroid hormones that, depending on when it occurs, can affect to a greater or lesser extent to the development of vital organs. Idiopathic primary hypothyroidism occurs due to thyroid antibodies, or other cause autoimmune disorders (autoimmune hypothyroidism). Hypothyroidism symptoms of muscle fatigue, shortness of breath or pain in the thyroid area, hair loss, dry skin and rough and progressive deterioration of intellectual activity. Due to the difference between hyperthyroidism and hypothyroidism drug treatment it will also be different and adapted to each patient.   ...

Hypogonadism

  Hypogonadism is an endocrine disorder caused by low production of certain hormones, testosterone in men and estrogen in women by male and female gonads (testes in men and ovaries in women). The origin of this disorder can be varied from hereditary factors, a result of some surgeries, or autoimmune diseases, kidney, liver problems, infections. The most common symptoms of hypogonadism are: in women, loss of menstruation and pubic hair, hot flashes, low libido ,,,; and in men, loss of hair on beard and body, loss of muscle tone, breast enlargement and erection problems. The low production of testosterone in men is known as male hypogonadism, while the low production of testosterone from the testis is called hypogonadism. ...

Hypopituitarism

Hypopituitarism is the lack of segregation of hormones by the pituitary gland that can be total or partial, depending on the degree of damage, producing changes in some organs. Furthermore, the lack of thyroid hormones and impaired reproduction can also affect blood pressure. In women, the most common manifestations of this disease are changes in menstrual cycle, decreased libido, and infertility. And in men, hypopituitarism can cause decreased muscle strength, decreased libido and erectile dysfunction. Anyway, hypopituitarism is a progressive disease, so symptoms are not too evident and usually occur gradually. Some of the most common causes of hypopituitarism are: head injuries, tumors, brain infections or radiation, genetic diseases and other disorders caused by the immune system. ...

hypothalamus

The hypothalamus is a small hormonal gland, the size of a pea, located in the center of the brain. Their task is to control and regulate each and every gland body functions, such as energy levels, sleep cycles, temperature, blood pressure, muscle function, immune system, among other functions. This gland depends on external factors and receives all information from every part of the body. Parallel changes and resets the functions of our body. Once filtered information, the hypothalamus sends orders to the body in two ways: the autonomous nervous system, through the spinal cord, the pituitary gland and, through the endocrine system. ...

Hypothyroidism

  Hypothyroidism is the decreased production of thyroid hormones that, depending on when it occurs, can affect to a greater or lesser extent to the development of vital organs. Suffers a very small percentage of the population and their causes can be congenital, environmental, removal of the thyroid gland or treatment with various drugs such as iodine or lithium. For hypothyroidism in children, caused by congenital causes, it is often done to babies clinic (heel prick) test. On the other hand, because during early pregnancy, expectant mothers require an unusual effort on your thyroid gland, one of the risks encountered is hypothyroidism during pregnancy, to be monitored especially for the successful development the fetus and the health of the mother. Idiopathic primary hypothyroidism occurs due to thyroid antibodies, or other cause autoimmune disorders (autoimmune hypothyroidism). Usually have symptoms of muscle fatigue, shortness of breath or pain in the thyroid area, hair loss, dry skin and rough and progressive deterioration of intellectual activity. ...

Insulin Resistance

Insulin resistance or hyperinsulinemia is a metabolic disorder of the body. The liver, muscle and adipose tissue react to the action of insulin, the hormone produced by the pancreas to glucose distribute and maintain blood sugar levels. The pancreas produces more insulin and can lead to diabetes. ...

Ketogenic diet

The ketogenic diet reduces carbohydrate intake to promote fat oxidation diet. Some ketogenic diets allow the intake of fruits and/or vegetables, but in very controlled amounts. Other completely eliminate even the intake of cereals, flour, bread and also, fruits, vegetables and legumes. Such diets, always under medical control, this indicated the epileptic children. ...

Menopause

It is called menopause to the disappearance of the menstrual periods of the woman permanently, because of the arrest of the ovarian cycle. At a certain age of the woman, the average is around 50 years, the ovaries produce less amount of estrogen and progesterone, which are female hormones. After this process the woman can no longer get pregnant. In the case of men this process is called andropause, which is the loss of sexual potency due to the low levels of the testosterone hormone in the body. The menopause process can last several years. What symptoms does it present? Menopause has symptoms such as changes in the menstrual cycle, insomnia, vaginal dryness, mood alteration, difficulty concentrating, hot flashes, weight gain, headache and more facial hair, among others. Some of these symptoms require medical treatment. For example, the intake of bioidentical hormones or the follow-up of a diet indicated to reduce the annoying symptoms.   Causes of menopause or why it occurs Menopause occurs due to the low production of female hormones. Sometimes surgical menopause can occur, which is when a surgical treatment causes a decrease in estrogen. On the other hand, it is important to note that there are certain drugs such as those used for chemotherapy or hormone therapy for breast cancer that can cause menopause.   Can it be prevented? Menopause is a part of a woman's natural development and can not be prevented. What you can do is take into account certain care to reduce the risk of long-term problems such as osteoporosis and heart disease. It is important not to smoke, exercise regularly, ingest calcium and vitamin D and control blood pressure and cholesterol.   What is the treatment? The treatment may be a change in lifestyle or hormone therapy. The application of one or the other depends on many factors such as the severity of the symptoms, the general health and the preferences of the patient. ...

Menopause Diet

Menopause is a stage in women which is characterized by a decrease in estrogen. Although not a disease, this phase of life can lead to discomfort, physical and psychological, that require attention and care to prevent future ailments. Among them, we must analyze and adapt the diet of women nutrition for menopause and osteoporosis, which can help cope with this change in the body. Input, diet during menopause should not change if eating habits were correct, it must be preventive to help maintain good health. Therefore, it must be balanced and low in fat to avoid being overweight, the appearance of excess cholesterol or diabetes. In addition, they may be required calcium supplements to suit the diet for osteoporosis, thinning of the bones to which many women at this stage and that this diet slows, strengthening bone maintenance with adequate calcium and vitamin D disease . ...

metabolic diseases

The metabolic diseases are those that are dealt, inter alia, through the feed. The most common are obesity, diabetes, cholesterol and hypertension.

Osteoporosis diet

Osteoporosis is bone loss normally associated with aging, originating from age 40, but is closely linked to other vital periods as menopause in women or certain chronic diseases. Generally, often it produces no symptoms, although the fragility and bone fractures, especially hip and femur is associated, and persistent pain and deformation. To prevent and mitigate these symptoms and the onset of the disease itself, it is advisable to follow a diet for osteoporosis. This food guide is based on the introduction of calcium and vitamin D in adequate doses, which should already followed since childhood, and takes into account an adjustment in healthy habits such as physical exercise and the abandonment of inactivity, consumption alcohol and snuff, or the abuse of drugs such as corticosteroids. The physician should prescribe the form and amounts of foods in this diet custom mode, depending on the medical history of each woman. ...

Parathyroid

The parathyroid glands are endocrine glands in the neck, the size of a pea. Most people have 4 parathyroid glands on the thyroid gland; however, some people have up to 5 or more. The function of the parathyroid gland is totally different from the thyroid. Produce parathyroid hormone (PTH), which helps the body maintain the balance between calcium and phosphorus. Disorders occur when the parathyroid gland produces excessive amounts of hormone or scarce, upsetting the balance. If there is too much PTH hyperparathyroidism occurs, increasing the level of calcium in blood. But if not produce enough PTH, the imbalance is called hypoparathyroidism, taking blood too little calcium and excessive phosphorus. ...

Simple goiter

Goiter, or thyroid goiter is an enlarged thyroid gland that is characterized by the appearance of a bulge in the anterior neck that often push the trachea, which leads to difficulty in breathing and swallowing, and can even cause hoarseness. It is often caused by a disruption of hormones gland, cysts or a diet low in iodine. According to the characteristics of goiter it can be classified as diffuse goiter, characterized by a steady increase in the gland; nodular goiter or multinodular goitre, which is the development of one or more nodes due to enlargement of the thyroid. Besides, goiter may be accompanied by hypothyroidism or hyperthyroidism associated with symptoms such as nervousness, weight loss, cold intolerance, dry skin, among others. If goiter with hypothyroidism usually pharmacological treatment to shrink occurs. If that occurs with hyperthyroidism, can be removed by surgery, radioiodine or treated with drugs. ...

Thyroid disorders

The thyroid gland is located just below the nut at the bottom of the neck in front of the trachea, and function is to regulate body metabolism. The thyroid is composed of follicles that are originating thyroid hormones thyroxine and triiodothyronine, together with iodine. In the case of having some kind of disease in the thyroid gland, the patient may perceive the appearance of a lump or your own size and the consequences that may trigger the body. Detecting problems gland is performed through a simple blood test. ...

Thyroid nodules

The thyroid nodule is a growth of abnormal cells in the thyroid gland, which are usually identified by lumps in the neck area. These thyroid nodules are benign in most cases (9 of 10), but sometimes may be carcinogenic. If the nodule becomes filled with fluid or blood, it is known as thyroid cyst. These nodules, which in most cases does not usually give any symptoms, can produce discomfort in swallowing, breathing or cause hoarseness. In addition, they may be accompanied by hypothyroidism and hyperthyroidism, and are produced by a production of unnecessary hormones for the body, a deficiency of iodine in the diet or genetic factors. Treatment will depend on whether the thyroid nodules are benign or cancerous. In the latter case, the different treatments ranging from the application of high-dose thyroid hormones or surgical removal of nodules. ...

Thyroiditis

Thyroiditis is inflammation of the thyroid, which can cause malfunction of the gland resulting in hypothyroidism or hyperthyroidism. It is usually associated with other disorders caused by a weak immune system. There are different types of thyroiditis as the cause that causes: chronic thyroiditis or acute thyroiditis. Hashimoto's thyroiditis, known as chronic thyroiditis, is an autoimmune origin and can cause hypothyroidism, with symptoms such as pain in the thyroid and difficulty swallowing. They also tend to suffer it middle-aged women and may be hereditary. Moreover, acute thyroiditis is produced by bacteria and causes abscess thyroid area. ...

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