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 had hypothyroidism for 15 years. This summer my skin is extremely dry. The skin on my legs is glassy, shiny, and brittle. I also feel rashes on my face. Please suggest suitable moisturizing creams and remedies. Currently, I am taking Thyronorm 50 for 5 days, and Thyronorm 100 fo... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. For hands and legs you can apply Moiturex cream and for the face, you can use Physiogel cream. Another good body lotion and face moisturizing lotion is the Cetaphil Restoraderm lotion. Use baby soap or soap-free cle... Read Full »
My 19-year-old daughter has chronic anemia and subclinical hypothyroidism. What to do?
Query: Hello doctor, My daughter is 19 years old. She has chronic anemia, and the Hgb range is 8 to 9 g/dL, which never exceeded the Hgb of 9.5 g/dL since birth. There is no history of blood disorders in the family, no abnormal bleeding, and normal menses, according to her. Her father and mother are relati... Read Full »
Answer: Hi, Welcome to icliniq.com. I thoroughly read your query and understand your concern. I am a hematologist with 20 years of experience in treating hematological, oncological, immunological, rheumatological, and infectious diseases. There is no obvious cause of low hemoglobin. I suggest you get her LD... Read Full »
Is there necessity for treatment of borderline TSH and T4 levels in a newborn?
Query: Hello doctor, My son is 42 days old. His activities are normal, but his TSH level is 5.6 miu /ml and laboratory normal range is 4 to 8 miu/ml and his total T4 level is 8.6 mcg/dl and my laboratory normal level is, 4- to miu /ml. My doctor says that he is in borderline and needs treatment as the co... Read Full »
Answer: Hello, Welcome to icliniq.com. TSH of 5.6 is high normal and T4 of 8.6 is fine. If this is the first time you are checking it, repeat after five days, do a free T3, free T4, and TSH next time. They are better interpreters. Correlation between the hormone levels seems to be fine. The condition whi... Read Full »
According to the new normal level of TSH, is my TSH level abnormal?
Query: Hi doctor, My TSH level is 3.85 uIU/ml, whereas my T4 (Free) is 1.01 ng/dl. I have been notified by a cardiologist that my TSH level is abnormal, and the new ideal range was changed to 0.3-3.0 since 12 years, where it looks like all my problems are due to this issue. I have checked the internet and ... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for reporting the thyroid function test reports. I am very happy that you are taking good care of your health with up-to-date knowledge and appropriate concern. I agree with the cardiologist that the normal level of TSH (thyroid stimulating hormone) is below 3.0 ... Read Full »
When I started taking Eltroxin, I began to feel depressed. What could be the cause?
Query: Hello Doctor, Since I started taking Eltroxin 10 days ago, I began to get highly depressed (as depressed as I want to die), and the other medication Synthroid is not available here. There is another one called Euthyrox, and they told me it is the same as Eltroxin; before I could find Eltroxin, I use... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for contacting me with the valid query. There is no difference in particular brands from different pharma companies. Before I proceed, I would like to tell you a few side effects of Eltroxin that we encounter infrequently. At the time of prescription, I omitted t... Read Full »
My nail has a thin black line after I recovered from an injury. Why so?
Query: Hello doctor,I have a very thin small black line underneath my nail. I suddenly noticed it a week ago. I first saw it on my right thumb, the same thumb I had a nail injury where I had to get my nail surgically removed back at the start of the year. It healed fully and grew again. I did not have this... Read Full »
Answer: Hi, Welcome to icliniq.com. Do not worry, I will help you with your concern. I went through your photos (attachments removed to protect the patient's identity) and history, it looks like a splinter hemorrhage (a few blood stains under the nail, which are brought on by blood vessel injury). Splinter ... Read Full »
Query: Hi doctor, I am a moderately fit female (running 6.21 to 9.32 miles). My height is 5' 6" and weight is 149 pounds. I have hypothyroidism, and I am on Levothyroxine. My TSH is around 1.5 mIU/L. My question is about a fluctuating resting heart rate. According to my sports watch, my RHR can be between... Read Full »
Answer: Hi, Welcome to icliniq.com. You have chronotropic incompetence (an inability to increase heart rate with exercise). This could be a consequence of hypothyroidism. However, I understand that it remains persistently high, possibly due to autonomic disturbances. My advice is to keep exercising at a l... Read Full »
I have hypothyroidism and feel tired and dizzy. Should I reduce Thyronorm dose?
Query: Hello doctor,I have hypothyroidism for the past two years. I feel very tired and dizzy, current TSH level is 5.56. I am taking 62.5 mg Thyronorm. I feel dizzy and very weak and tired after taking medicine. Should I continue the dosage or decrease the dose? Please suggest the dosage. Read Full »
Answer: Hi, Welcome to icliniq.com. First, fix your hypothyroidism without medicines naturally with lifestyle and diet. Do the correct basic tests for thyroid function which is seven in number. If you have done only the total T4, total T3 and TSH, it is incorrect. These three tests are commonly done and t... Read Full »
Query: Hello doctor, My wife had gone to the gynecologist for her checkup. As per her reports, TSH was 2.86 mIU/mL. 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/mL, FT3 was 4.09 pg/ml,... 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, sickn... Read Full »
Should hypothyroidism medicine be given for TSH level 8.12?
Query: Hello doctor, My mother aged 75 years has TSH 8.12. She has adrenalism and takes Hisone 12 mg daily. Should she be administered medicine for hypothyroidism? Read Full »
Answer: Hello, Welcome to icliniq.com. There are higher chances of hypothyroidism in a patient who has hypoadrenalism (Addison's disease). These both conditions can be the manifestation of the same underlying process (autoimmune). If your mother is symptomatic (weakness, dry skin, hair loss, constipation,... Read Full »