Hypothyroidism is a condition where the thyroid glands are underactive and produce less thyroid hormone. The signs and symptoms include weight gain, cold intolerance, tiredness, constipation, and hair loss. It requires thyroid hormone replacement therapy for life.
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Query: Hello doctor,I have hypothyroidism. My TSH is slightly high, and T3 and T4 are within the normal range. Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. A slightly high TSH level (5.11 mIU/L) and normal T3 and T4 levels may indicate subclinical hypothyroidism, a mild form of hypothyroidism. In subclinical hypothyroidism, the thyroid gland is not producing enough thyroid hormones, but T3 and T4... 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 »
Query: Hello doctor, My wife had gone to the gynecologist for her checkup. As per her reports, TSH was 2.86 mIU/L. The doctor prescribed tablets Loette, Melmet SR 500, Myocyst sachet, Esmocim 40 mg, and syrup Lucid. After one year, she again checked the TSH. Then TSH was 5.750 mIU/L, FT3 was 4.09 pg/ml, a... Read Full »
Answer: Hello, Welocme to icliniq.com. I read your query and understand your concern. From what you have mentioned, it appears that your wife has a very slightly high TSH (thyroid stimulating hormone). It means sub-clinical hypothyroidism and does not need any treatment. It can occur due to stress, sicknes... Read Full »
What test should I do to know if I am HGH deficient?
Query: Dear doctor, I want to test myself for HGH deficiency. Can you tell me a complete guide on how should I proceed? What tests should I do? After I have done them, can I post it here for a thorough examination from your doctors, so that they can tell me whether I am HGH deficient? I want to test that... Read Full »
Answer: Hi, Welcome to icliniq.com. You need to check IGF1 level (insulin-like growth factor 1), liver function and kidney function tests and hemoglobin level. Also please take an x-ray of your left elbow and left knee joint AP view (anteroposterior view) to assess the bone age, and to check whether ends of... Read Full »
Is there a permanent cure for my prolonged macrocytosis?
Query: Hello doctor, I have had macrocytosis for a long time. My last B12 and folate levels were high. I have symptoms of nervousness, snarkiness, light headedness, palpitations, and sometimes tingling in the hands and feet. It is making me crazy. My MCV is 104.9, MCH 35.6 and last TSH 2.18. I have consult... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Macrocytosis can be present because of hypothyroidism, alcohol, liver disease, etc. Your TSH value is within the limit. So, I do not think a thyroid problem can be the cause. You can get the following tests to rule out liver and kidney problem: SGOT (serum g... Read Full »
What is the cause of dry skin in the front of my lower legs?
Query: Hi doctor,I have some dry skin in the front of my lower legs, but it is on both legs. It is red and looks like dry skin. It does not itch, and I have had it for a few months. Do you have any idea of what could it be? Read Full »
Answer: Hello, Welcome to icliniq.com. It is xerosis that is, dry skin. Shins are common sites for xerosis.Xerosis can be due to a cold climate, atopic dermatitis or certain other disorders such as hypothyroidism.I suggest you the following treatment for xerosis. Consult your specialist doctor, discuss with... Read Full »
Why do I muscle weakness from childhood?
Query: Hi doctor, I am 21 years old. I have muscle weakness in both arms and legs since childhood. I cannot climb stairs without support and I feel tired most of the day. I cannot stand for long and also cannot run or walk. My legs and feet always get numb. I have decreased sensory sensations in both feet.... Read Full »
Dr. J. Mariano Anto Bruno Mascarenhas
Answer: Hi, Welcome to icliniq.com I have read your question with care and understand your concerns. My opinion is as below: You are having both myopathy and neuropathy. You need to get treatment for both. Hypothyroidism and vitiligo are may be signs of abnormal functioning of the pituitary gland. You h... Read Full »
Query: Hello doctor, I am a 25-year-old female.I have been hypothyroid for the last five years and taking regular medication of 50 mcg. But last month, since I was observing symptoms of weight gain and irregular cycles, I switched to 75 mcg thyronorm with the doctor's advice only. But I am concerned about ... Read Full »
Answer: Hello, Welcome to icliniq.com, I read your query and can understand your concern. The thyroid hormone increases body metabolism; hence its low secretion (hypothyroidism) causes weight gain and other symptoms like intolerance to colds, irregular cycles, and fatigue. 1.Along with diet control, you... Read Full »
Query: Hello doctor,I am a 35 year old male. I had a hyperthyroid since the last five years and was taking Carbimazole 5 mg thrice a day for the last two and a half years. Then, last month, I got my complete physical test done, and I got to know that my hyperthyroid had shifted to hypothyroid. So, the do... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query about your thyroid dysfunction and saw your reports in detail (attachment removed to protect patient identity). It appears that you were diagnosed with hyperthyroidism initially and were treated accordingly. The problem occurred when you had ... Read Full »
I had high blood pressure and low heart rate. Is my ECG showing infarction?
Query: Hi doctor,I had high blood pressure, low heart rate. Is my ECG showing infarction? I have no chest pain. At the time of ECG, my blood pressure was 168/100 and heart beat 46. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your ECG (attachment removed to protect patient identity). The reports mentioned on ECG are machine generated and are frequently inaccurate. There is no clear-cut evidence of myocardial infarction on ECG. As you also do not have any history of chest... Read Full »