Hyperthyroidism

Hyperthyroidism is a condition where the thyroid gland produces excess thyroid hormones. In this condition, our body metabolism gets increased, and it results in weight loss, sweating, and irregular heartbeats. This condition is treated by medications, and sometimes surgery is required.

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What is the cause of shaky hands?

Query: Hi doctor, My father, who is 71 years old, has a problem of shaking hands for the past 4 to 5 years. It is gradually increasing. What is the cause and how to get the treatment? We met a neurologist and she prescribed some medicines for two months, but things have not improved. Shaking hands is mostl...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com. We are here to help you. Your father's symptoms based on clinical history are suggestive of Parkinsonism. However, we need to clinically judge the disease to rule out other causes of tremors such as hyperthyroidism and akinetic-rigid syndrome (loss of passive movement due...  Read Full »

Why does my 11-year-old son frequently get angry and irritated?

Query: Hello doctor, My son is very weak and not gaining any weight. He is 11 years old, and still, his weight is 28 kg. Nowadays, he gets angry and irritated irrationally and also abusing everyone, including elders. He eats very less. I have got his complete body tests and attaching the reports here. Ple...  Read Full »


Dr. Sugreev Singh

Internal Medicine Physician, General Medicine Physician

Answer: Hi, Welcome to icliniq.com. I have seen his blood reports (attachment removed to protect patient identity). There are some changes in his blood values, but the primary concern is about TSH and T3. Both values are increased, which could cause irritation, weight loss, and restlessness. So once i...  Read Full »

Can reduced TSH level cause irregular heart beat and hand tremors?

Query: My TSH level is low but in normal range and T3 & T4 are normal too. But I experience irregular heartbeat, hand tremors, fatigue, irregular & light periods. What does it mean?  Read Full »


Dr. Nasir

Pain Medicine Physician, Internal Medicine Physician, General Medicine Physician

Answer: good day to you ma'am the thing about thyroid function test is that it has to be interpreted in a very specific manner. it is not a very simple test to interpret. since your TSH is on the lower side and t3 and t4 are normal we will have to check your free t3 levels. usually what happens is in our b...  Read Full »

What should I do to control my weight with hyperthyroidism?

Query: Hi, I am a hyperthyroidism patient. My weight was 65 kg when i was normal. And then my weight is suddenly decreased and it was 52 kg, and i knew that i have hyperthyroid, so treatment was start from last year and now my current weight is 73 kg, can you help me how can i control weight now? I am t...  Read Full »


Dr. Zulfiqar Ahmed

Endocrinologist, Diabetologist

Answer: Hi Thanks for your query First of all u need to control ur thyroid function so ur thyroid Harmon levels should be stable. When ur thyroid harmone levels increase u will lose weight. I don’t know why ur taking inderal? It’s given initially to control symptoms because carbimazole takes t...  Read Full »

How to stop a drug that has been taken for a prolonged period?

Query: Hi doctor, I have been taking Inderal 40 twice daily for more than two years for anxiety. How to stop it?  Read Full »


Dr. Sandeep V Nair

General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. Inderal 40 is a beta-blocker called Propranolol; it is used to relieve anxiety. It acts by reducing heart rate and other actions on the sympathetic nervous system. Since you are taking 80 mg daily and are doing well, may I know why you want to stop it? The problem with...  Read Full »

Can a headache, throat pain, and runny nose with no fever be signs of COVID-19?

Query: Hi doctor, My mother is having headaches, throat pain, and runny nose. She has no fever. Should we get her tested for the Coronavirus? Also, what medications we can give at this point?  Read Full »


Dr. S D Sinha

Family Physician, Infectious Diseases Specialist

Answer: Hi, Welcome to icliniq.com. Thanks for your query. With the symptoms that you have mentioned, with the pandemic around, it would be an excellent decision to test her for COVID-19 using RT-PCR (reverse transcriptase-polymerase chain reaction) based antigen test from the oral and nasopharyngeal swa...  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

Diabetologist, Endocrinologist

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 definitely need...  Read Full »

Suffering from Heart palpitations, Hypertension, Depression and Anxiety. Need advice

Query: Hi doctor, I am a 26 year old male. I am having hypertension, palpitation, depression and anxiety. ECG, 2D echo, renal Doppler, VMA culture, cortisol and lipid profile are normal. I need advice.  Read Full »


Dr. Rohit Jain

Cardiologist, Criticalcare Physician, Diabetologist, Endocrinologist, Family Physician, General Medicine Physician, Internal Medicine Physician, Pulmonologist, Sexologist

Answer: Hi, Welcome to icliniq.com. The tests you have mentioned are used to find a cause for significant hypertension. You have not mentioned anything about your BP levels and whether they are really significantly high. We have no details of your weight, your lifestyle and your family history. ...  Read Full »

Can Insulin dosage be increased to control blood sugar levels?

Query: Hi doctor, My wife is a 46-year-old female of 5.4 feet and weight of 80 kg. She has diabetes for around four to five years and hypertension (after medicine 130/80), hyperthyroid (after 150 Eltroxin well controlled) for a similar period. She had a hysterectomy done around four years back. She is on...  Read Full »


Dr. (col) Rakesh Karanwal

Cardiologist, Diabetologist, Endocrinologist, Family Physician, General Medicine Physician, Internal Medicine Physician, Neurologist, Pulmonologist, Rheumatologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. Thanks for your query. I would initially like to know her TSH (thyroid-stimulating hormone) levels since my target is to maintain TSH to around 1.0. Further, your wife's Insulin is resistant, whereby her dose of Insulin is likely to go up with time. Insulin dose and ag...  Read Full »

Can you make a diagnosis of Grave's disease from my description?

Query: Hello doctor, Can you make a diagnosis of autoimmune or other thyroid disease based on the information? I was treated. My theory is I have autoimmune thyrotoxicosis or Graves' disease. I was taking Lithium for cluster migraine prevention. When I discontinued Lithium I become very anxious in line w...  Read Full »


Dr. Aditi Gupta Jha

General Medicine Physician, General Practitioner, Internal Medicine Physician

Answer: Hi,Welcome to icliniq.com.The diagnosis is correct viz hyperthyroid Graves' disease. You certainly need Methimazole for this as well as a thyroid surgery. You should not take Lithium for prolonged use. However, bearing in mind the side effects it has. But I understand you also need it for your gritt...  Read Full »

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