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HomeAnswersEndocrinologyallergenThe doctor told me that the result of my thyroid test, which showed a normal FT3 and TSH but a very high FT4, was normal. What should I do?

Can a thyroid test that showed a normal FT3 and TSH but an extremely high FT4 be correct?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Shaikh Sadaf

Medically reviewed by

iCliniq medical review team

Published At July 19, 2023
Reviewed AtMay 21, 2024

Patient's Query

Hello doctor,

I am 29 years old, 57.87 inches tall, and weigh 97 pounds (lb). I have had an allergy since last year. I initially visited a private physician. He prescribed Claricort, Prednisone 20, and Cefuroxime 500 mg for a total of 10 days during my initial checkup. He was also given a prescription for Prednisone 10 mg for 10 days, along with some Calamine (Caladryl) cream to use if the itching persisted. I went to a dermatologist since even after taking all those medications, my allergy persisted. I was told not to consume things like chicken, eggs, and other things. And she prescribed me Levocetirizine 5 mg tablet for 20 days and apply Triamcinolone lotion to my allergies. Upon return check-up, she prescribed another medicine called Montelukast 10 mg tab for 30 days and use Triamcinolone lotion and Aveeno derma. During my third check-up, she additionally prescribed Montelukast 10 mg for 100 days. Sad to say, I stopped taking Montelukast sometime due to fear that too much intake of this medicine might cause a lot of adverse reactions in myself and in my body. So, I do not know if this is why the reason my allergy did not vanish. There was a free medical check-up in our province with doctors coming from various parts of the world. I tried to see one, and that doctor prescribed me to take Cetirizine with Montelukast, Prednisone, and Albendazole and she requested for a Thyroid Panel, CBC, Urinalysis, and SGPT. If I could do all those tests, she advised me to see an endocrinologist and an allergist. However, due to some circumstances, I was not able to do all those tests. In another medical check-up that was done in our province, our health officer advised me to do a thyroid panel and an ECG. Yesterday, I successfully had my thyroid panel and, the result was a normal FT3 and TSH but, a very high FT4. I went to a hospital and, she said that the result is normal. Is she right? Kindly help.

Answered by Dr. Shaikh Sadaf

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

The test results say (attachments removed to protect the patient's identity) that you have high T4 but your TSH is normal. So there could be a nodule in your thyroid gland and that needs to be assessed by doing an ultrasound of your thyroid gland. You must repeat your thyroid test while you are fasting from some different laboratory to be sure.

I hope I have answered your question.

Let me know if I can assist you further.

Regards.

Patient's Query

Hello doctor,

Thank you for the reply.

I failed to mention that I occasionally have trouble breathing. I, therefore, will not be able to deal with the sun's heat from sunrise to sunset. My neck itches a lot. Kindly help.

Answered by Dr. Shaikh Sadaf

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Shortness of breath is something I cannot advise on without clinically examining you. I suggest you should visit a doctor for a clinical check. It is important to assess whether the itching in the neck is due to an allergy.

I hope this helps.

Thank you and take care.

Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shaikh Sadaf
Dr. Shaikh Sadaf

Endocrinology

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