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Am I suffering from any thyroid disorder?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 27 year old male. My height is 5'9" and weight is 92 kg. I got tested for thyroid yesterday and got an antithyroid panel test today. My reports are attached. Am I suffering from hypothyroidism or any thyroid disorder? Do I need to start medication?

Hi,

Welcome to icliniq.com. Based on the attached reports (attachment removed to protect patient identity), it appears that you have hypothyroidism. Have you been previously diagnosed with hypothyroid, and if so, has treatment already been started? Additionally, are you experiencing any other symptoms such as constipation, mood changes, intolerance to cold temperatures, hair loss, increased fatigue, or dry skin? Have you noticed any swelling or nodular growth in your thyroid? Have you undergone FNAC (fine needle aspiration cytology) or free T4 testing for further evaluation? It is worth noting that the combination of high TSH (thyroid-stimulating hormone) levels and elevated anti-thyroglobulin titers suggests Hashimoto's thyroiditis, an autoimmune condition where the body's immune system attacks the thyroid cells, resulting in the release of thyroglobulin into the bloodstream and the formation of anti-thyroglobulin antibodies.

To confirm your hypothyroid status, it is essential to perform a free T4 test. If the free T4 levels are low, treatment should be initiated, typically with Thyronorm at a dosage of 1.6 to 1.8 mcg/kg, taken early in the morning on an empty stomach, and continued lifelong. Additionally, a diagnosis of Hashimoto's thyroiditis might require an FNAC of the dominant nodule to be performed for confirmation. Please consult your doctor for further evaluation and management of your condition.

Medically reviewed byiCliniq medical review team

Published At October 20, 2016
Reviewed AtJanuary 29, 2024

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