Anti-TPO antibodies are the most common anti-thyroid antibodies present in Hashimoto's thyroiditis and Graves' disease. In this, the immune system attacks the normal tissues and produces antibodies. These antibodies attack the thyroid glands causing swelling and tenderness. TPO is called thyroid peroxidase, and it helps in the healthy functioning of the thyroid. A TPO test helps to detect antibodies against TPO in the blood.
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My thyroid level is fluctuating after delivery. Why?
Query: Hi doctor, I had postpartum thyroiditis with my first child and it presented again with second child at 7 months postpartum. I am dealing with anxiety, higher than normal heart rate, fatigue and trouble sleeping. During previous PPT, I could not tolerate medicines and it resolved when my child was 1... Read Full »
Answer: Hi, Welcome to icliniq.com. The duration of the cycle that is normal is 23 to 35 days. So, anything in between these days is actually normal. After delivery, cycles tend to be irregular for a year or so and hence, no medicines are required during this period. Your thyroid-stimulating hormone is nor... Read Full »
What medicines can I take for my thyroid problem?
Query: Hi doctor, I am 40 year old. Recently I tested my thyroid and the report shows T3 - 1.1, T4- 8.4 and TSH - 6.7. Please advise me which medicine is currently safe for me. My health problem includes fatigue and occasional depression. Also my lips are dry. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. Read Full »
What am I experiencing multiple symptoms?
Query: Hi doctor, I am a 25 year old female. In childhood, I had malaria and double typhoid. Everything was normal until few years back. Things started all over again since the last five to six years. I have been putting on weight continuously, suffering from weakness, horrible fatigue and body pain all th... Read Full »
Answer: Hi, Welcome to icliniq.com. You have what is called subclinical hypothyroidism. It is also a metabolic component of PCOD (polycystic ovarian disease). You are doing most things right. Remember there is no magic treatment. Exercise and diet are continuous events that need regular and consistent fol... Read Full »
Should I take thyroid medications during breastfeeding my baby?
Query: Hi doctor, One and a half year back, I was diagnosed with thyroid with the TSH value of around 7.24. I was advised to take Thyronorm 25 mcg daily. I had delivered a baby before two months. I did TSH at that time and the reading was 0.08. Then I stopped the medication as per doctor's advice. On repea... Read Full »
Answer: Hi, Welcome to icliniq.com. My advice is, as of now stop the medication. After six weeks, do a TSH (thyroid stimulating hormone) and anti-TPO (anti-thyroid peroxidase antibodies) test on an empty stomach. If anti-TPO is positive, you may require treatment later. Read Full »
Should I follow-up, based on my daughter's thyroid levels?
Query: Hi doctor, My daughter is 17 years now. We took her to ER for joint pain. Her joint pain started in the lower back three days ago and within a day, it was in all of her joints. But, there is no rash and fever. Two doctors saw her in the ER said that she needs further testing apart from laboratory te... Read Full »
Answer: Hi, Welcome to icliniq.com. The viral infection she might have caught from her school and there is no need to worry. Usually, that is self-limiting. We adapt the policy of wait and watch unless there are no complications and I think there are none.With respect to thyroid, I suggest you do not panic.... Read Full »
I am pregnant and my anti-TPO antibodies is 278. What does this mean?
Query: Hello doctor,I am 28 years old. I got pregnant three months back. At 1.5 months, I went for a regular check-up. Everything came normal except for my TSH level, which came out to be 5.57. I have not gone for thyroid test before. Doctor gave me 50 mg Thyronorm to be taken daily as she termed it hypoth... Read Full »
Answer: Hello, Welcome to icliniq.com. Elevated levels of anti-TPO antibodies indicate you have autoimmune thyroiditis. Do not worry about these terminologies, what it shows is you may have the disease even after the delivery. But that does not mean that you need to take medications life long. It can beco... Read Full »
What is the reason for my irregular periods and hair loss?
Query: Hello doctor, I consulted a gynecologist for irregular bleeding since two months and hair loss. The following actions made by me is mentioned chronologically.I went to a gynecologist and she suggested TSH blood test and ultrasound scan. The TSH reading was 5.8 and the scanning report is normal. Th... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and your detailed information about yourself. From what you have mentioned, it appears that you did have a slightly high TSH (thyroid-stimulating hormone) but that does not mean that you have to take thyroid medications. It is not recommended to ... Read Full »
Will I have any problems during pregnancy if my thyroid peroxidase antibody levels are 600 IU/ml?
Query: Hello doctor, I am a 39-year-old female, and I am ten weeks pregnant. I am taking the tablet Thyronorm 112 mg. I underwent a thyroid peroxidase microsomal antibody test, and my level was reported to be 600 IU per ml. Will I have any problems with pregnancy? Read Full »
Answer: Hello, Welcome to icliniq.com. I think you have hypothyroidism from the attached reports (attachments removed to protect the patient's identity). You have antibodies against your thyroid gland, so the gland is not functioning correctly. Therefore, I suggest you take the medications to decrease thy... Read Full »
Please give your opinion about my ANA report.
Query: Hi doctor, I have had a positive ANA for at least 12 years with no other positive tests for autoimmune disease. My other symptoms are fatigue and some joint pain in hands and knees. Recently, I had a positive ANA of 1:640 speckled pattern with a note saying dense fine speckled pattern is noted. DN... Read Full »
Answer: Hi, Welcome to icliniq.com. You are fine. Please do not worry as nearly all your reports are fine (attachment removed to protect patient identity) and you are taking correct medicines also. As per your ANA (antinuclear antibody) with dense speckled patters is noted, I must say that there are many fa... Read Full »
Thyroid is in a state of euthyroid. How is my prognosis?
Query: Hello doctor, The level of anti-TPO antibodies is 492. The doctors say it is a state of euthyroid. I am worried about my prognosis. I am a medical student, can I still become a surgeon? Read Full »
Answer: Hi, Welcome to icliniq.com. Going by the details you have provided you have euthyroid. This means that you do have normal TSH with normal T4 and T3. The most common cause is autoimmune thyroid disease, which is confirmed by positive anti-TPO (anti-Thyroid Peroxidase) antibodies. Positive anti-TPO... Read Full »