Q. Am I suffering from any thyroid disorder?
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?
Dr. Geeta Priyadarsini Kamminana
Hi,
Welcome to icliniq.com.
- From the reports attached (attachment removed to protect patient identity), it shows hypothyroidism.
- Are you a known hypothyroid? Has the treatment for your thyroid issue already been initiated?
- Do you have any other symptoms like constipation, mood changes, intolerance to cold temperatures, hair loss, increased fatigue and dry skin?
- Did you notice any thyroid swelling or nodular growth? Did you get your FNAC (fine needle aspiration cytology) of thyroid or free T4 done?
- Do you have any positive family history of hypothyroidism?
- High level of TSH (thyroid-stimulating hormone) clubbed with high titers of anti-thyroglobulin signifies Hashimoto's thyroiditis, an autoimmune condition. It is a condition where our immunity attacks our own thyroid cells, leading to release of Tg into the blood and formation of anti-Tg.
- Well to confirm your hypothyroid status you need to go for free T4. If free T4 is low, treatment needs to be initiated at the rate 1.6 to 1.8 mcg/kg of Thyronorm early in the morning on an empty stomach and need to be followed for life.
- As Hashimoto's thyroiditis is a histological condition, diagnosis FNAC of the dominant nodule needs to be performed for confirmation.
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