Hashimoto's Thyroiditis

Hashimoto's thyroiditis is an autoimmune disorder that causes hypothyroidism. In this condition, the immune system attacks the thyroid gland and causes damage to it. This results in underactive thyroid or enlarged thyroid. The symptoms are constipation, depression, fatigue, cold intolerance, irregular periods, and pale skin. It is treated by taking Levothyroxine for having normal levels of thyroid hormones.

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I have Hashimoto’s thyroiditis and enlarged lymph nodes in the neck. Should I be concerned?

Query: Hello doctor, I am a 30 year old female. I have Hashimoto's hypothyroidism since four years. I take Eltroxin daily and go for a thyroid sonar once a year. I went for an ultrasound yesterday and my report stated that my thyroid features are consistent with Hashimoto's thyroiditis. But, what really fr...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query and from the reports you have attached (attachment removed to protect patient identity), it appears that you do have some enlarged lymph nodes. Yes, there are two possibilities but it is more likely that these are due to: 1. The upper respiratory...  Read Full »

How long can I take HRT, and will it cause any trouble when taken for a long time?

Query: Hello doctor, I have just received my blood results of thyroid and hormone blood test, and I require your help, please. I am 54 years old woman, who is 5.6 feet tall and weigh 183 lbs. I have suffered from ill health for many years and cannot remember the last time I felt well. I had a complete hyst...  Read Full »


Dr. Deep Dutta

Answer: Hi, Welcome to icliniq.com. I am sorry you have had to go through a lot. I really appreciate your writing all your problems in such a detailed way, which makes me easy to understand all your symptoms fully. Most importantly it is high time you stop your hormone replacement therapy (HRT). HRT shou...  Read Full »

Which of the two opinions for my TSH value is correct?

Query: Hi doctor, I am very concerned about my health. I made an appointment last year with an endocrinologist. I had a laboratory work and my TSH was 3.4. It was considered normal on laboratory ranges. But, my primary doctor said that 3.4 is high on what it should be consider the new normal. My LDL chole...  Read Full »


Dr. Bindiya Thakkar

Answer: Hello, Welcome to icliniq.com. Work up of hypothyroidism involves just TSH (thyroid stimulating hormone) or TSH and free T4. TT3 (triiodothyronine) or reverse T3 has no role in the diagnosis of hypothyroidism and it is useful in hyperthyroidism. TSH more than 10 is hypothyroidism and definite...  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 »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com.  Read Full »

I have been diagnosed with Hashimoto's disease, but I do not know how to deal with it. Please help.

Query: Hi doctor, I have been diagnosed with Hashimoto's disease. However, I am not aware of this disease. Can you please describe the causes and triggers of Hashimoto's disease? What are the treatments available? Any tips for preventing it from coming back or maintaining it? When does someone need medicat...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. 1. Hashimoto thyroiditis is an autoimmune disorder in which antibodies attack the thyroid tissue. Infection can precipitate it. 2. The final presentation is hypothyroidism, in which metabolic activity slows, so low heart rate and pulse can occur. As a result, a patient...  Read Full »

I have PBC and COPD. Should stay away from a person diagnosed with mono?

Query: Hello doctor,I have PBC stage 4, Gave, COPD, Hashimoto's, etc. I have been around someone who was just diagnosed with mono. I have used her water bottle. Should I be worried and, if so, what symptom could I develop? Do I have to stay away from this person now? I am currently under Urso 300 mg six pe...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to the icliniq.com. I can understand your concern. Do not worry, and I will clear your doubt. Infectious mononucleosis usually caused by EBV (Epstein-Barr), and it can spread through saliva mainly. So sharing of the objects like water bottle or glass object can spread infection. So yo...  Read Full »

I have a cough, thick saliva, loss of appetite, nausea with occasional vomiting, and constipation. Please help.

Query: Hi doctor, I am a 32-year-old female and a mother of two children. I have a diagnosis of Hashimoto, lichen planus, and vitiligo. I have had 11 years of chronic medical stress over my 11-year-old daughter, who has CHD and had four open heart surgeries and a cancer diagnosis five years ago. Before six...  Read Full »


Dr. Ana Karen Pulido Ayala

Answer: Hi, Welcome to icliniq.com. I thoroughly read your query and understand your concern. Your case does not seem simple. I do not think you do not have anything wrong, especially because of your diagnosis of Hashimoto, lichen planus, and vitiligo which all are related to autoimmune diseases. First, ...  Read Full »

What does it mean if you can hear clicking and squeaking noises of heartbeat?

Query: Hi doctor, I am a 34-year-old female and have been experiencing shortness of breath and increased heart rates for the past year. I also have palpitations and have been feeling extremely tired. I own and run a farm, so I am very fit, but I have been struggling with physical work due to these problem...  Read Full »


Dr. Sapkal Ganeshrao Patilba

Answer: Hi, Welcome to icliniq.com. I went through the details you provided. I guess you have described symptoms in chronology. 1.Initial symptoms of shortness of breath, palpitations, and tiredness likely to be related to thyroid disease. 2.Pericardial effusion can have multiple causes. But as you are a yo...  Read Full »

I have hypothyroidism after taking medicines for hyperthyroidism. What is going on?

Query: Hello doctor, I am a 26 year old female. Seven years ago, I was diagnosed with hyperthyroidism. I took medicines and my thyroid hormones got normal. After that, I stopped taking medicines. Everything was fine for two to three years. But after some time, I came across symptoms like weight loss, anxi...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned, it appears that you have Hashimoto’s thyroiditis. I would suggest that you have a wait and watch approach. I would recommend that you just keep checking your thyroid function test results every six weeks as of ...  Read Full »

Can Hashimoto's thyroiditis increase lymphocytes after hysterectomy?

Query: Hi doctor,I have had a total thyroidectomy (TT) two years ago and on my pathology report of the thyroid, I have had mild thyroiditis, and I always have high lymphocytes. For one period of about a year, they were raising every month. My Tg and Abt within normal range. I did anti-TPO and my result is ...  Read Full »


Dr. Elina Angelova Beleva

Answer: Hi, Welcome to icliniq.com. I have reviewed your results (attachment removed to protect patient identity). From what I have seen leukocytes are within normal range as well as hemoglobin, platelets were not reported. From the automatic differential, there is indeed a slight lymphocytosis, but the m...  Read Full »

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