HIstory:A girl came to my clinic with the complaint of thyroiditis with mild enlargement on left side for the last 5 yrs. She had been diagnosed with thyroiditis on the age of 6yrs. She came to our clinic with complaint of constipation, dry hard to pass stool, hair fall and reduced appetite.Past History: ThyromegalyFamily History: Father: DiabeticMother: Hyperthyroidism and diabetes Maternal Grandmother: Died by hydrothorax and acute MI Maternal Grandfather: Alive but suffers from hypertension Paternal grandmother: Diabetes Paternal Grandfather: Died due to MI Physical Characteristics:Sleep: Normal SleepThermal: hotThirst: NoneAppetite: ReducedSweat: Profuse on palmsUrine: NormalStool: Constipation, dry hard to pass-Bowel movement in 2 daysDesire: VegetablesAversion: Non-VegConstitution: Obese according to her age with flabby lookMind: Sensitive especially to criticism, possessive, obedient yet obstinate sometimes with interest in drawing and painting,draws well, beauty conscious, sometimes worry about her weight gain. She is 38kg with weak memory but interest in studies. She is emotional, creative and loves to do craft work and gift to her friends and loved ones. She is sentimental as she loves to keep things gifted by her friends. She has excellent handwriting.