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I have thyroid disorder. Please review my attached reports.
Query: Hello doctor,I have thyroid. I have attached my reports. I have been getting tired while talking and have also gained weight.Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. After reviewing your information and reports (attachment removed to protect the patient's identity), it can be confirmed that you have a thyroid hyperfunctioning condition called Graves disease. There are multiple treatment options available, ... Read Full »
My sister has Grave's disease. What is the best treatment?
Query: Hello doctor, My sister is 32 years. After her second delivery, she got the problem of diffuse toxic goiter what is called Graves' disease. She is on medication for the last six years. She is on Carbimazole. But, it is not effective as when she stopped taking the medicine she suffers again from the ... Read Full »
Answer: Hello, Welcome to icliniq.com. Graves' disease treatment options are the following. Medical therapy with drugs that she is already taking. The relapse rate is very high. Radioiodine therapy which is the safest and easiest with least side effects. It does not cause infertility. Surgery - as you... Read Full »
Can dull headaches be related to my thyroid problem?
Query: Hi doctor, I have been diagnosed with Hashimoto's five months ago. My anti-TPO and anti-TG were 115 and 33 respectively. My TSH was 1.5 and FT4 1.1, so normal function. Two months ago, I started having palpitations and tested my thyroid again. TSH was 0.0018 (suppressed), FT4 2.66 and FT3 7.8. I was... Read Full »
Answer: Hi, Welcome to icliniq.com. You have written a very detailed and engrossing history. Well done! The diagnosis of Graves' is usually made with a technetium scan of thyroid which I am not sure it was done or not. Regarding your dull ache of the head, is it present throughout the day or just morning... Read Full »
What is Hashimoto's thyroiditis?
Query: Hi doctor,I recently had some blood work come up abnormal after going to my PCP for extreme fatigue (as well as a myriad of other symptoms). My WBC and platelets were both a little low. He said something was destroying my platelets, so he wanted to run some more tests. Here are my abnormal results- ... Read Full »
Answer: Hi, Welcome to icliniq.com. There are multiple problems but do not worry, there are solutions to all these problems, but we have to step by step first; you told me Hashimoto's thyroiditis, so most of the symptoms you are mentioning are related to that only so for controlling that I would require y... 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 wit... Read Full »
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 gri... Read Full »
Why does hyperthyroidism make the eyes pop out of the socket?
Query: Hello doctor, My mother is 51 years old and she had thyroid sometime in the past. There are no signs of it from the last one year. However, she has these bulging eyes all the time, but she can perfectly see everything with her spectacles. I do not really know what happened to her the other day. She ... Read Full »
Answer: Hello, Welcome to icliniq.com. From your question, it is not mentioned if it is hypo or hyperthyroid. But the symptoms suggest it would be hyperthyroidism or Graves’ disease. I hope your mother is on medication otherwise the condition might worsen. The condition occurs due to overgrowth of tissu... Read Full »
What is the most recommended treatment for Graves' disease, surgery or radio-iodine?
Query: Hello doctor, My son is 19 years old and has been diagnosed with Graves' disease. He had it for nine months. He is now on 2.5 mg of Methimazole and his TSH, T3, T4 are stable. I know the disease never goes away but he is a college athlete and we need his energy back and more stable environment he... Read Full »
Answer: Hello, Welcome to icliniq.com. I would suggest radio ablation is the better option if he is a non-smoker, if he has no eye signs, and if the gland is not very large. As far as your worries are concerned, 1. Fertility is no question. Yes, we suggest avoiding a baby for six months, but your son is ... Read Full »
Is surgical removal of thyroid gland the only option for recurrent diffuse toxic goiter?
Query: Hello doctor, I am a 34-year-old male and have an issue with my thyroid gland. I was diagnosed with diffuse toxic goiter in 2005 (age 19), and ever since I have been on medical compensation (Thyrozol). I have taken 20 to 30 mg of Thyrozol for couple weeks, then gradually reduce the amount to zero. A... Read Full »
Answer: Hi, Welcome to icliniq.com. There are three ways to treat hyperthyroidism as what you are having. First is with medication and you are already taking that. Usually, it is given for 18 months but 50 % of people will have recurrence once they stop medications so the choice is to either continue the ... Read Full »
Query: Hello doctor, I was diagnosed with Graves disease 18 months ago. My most two recent tests are as follows: After I was on Methimazole 5 mg for five months. Total T3 - 281 ng/dL. Free thyroxine - 2.63 ng/dL. TSH was <0.01 uIU/mL (undetectable). After I was on Methimazole 20 mg for three... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and the detailed information that you have provided and it appears that you have Grave's disease and it is not responding to anti-thyroid medication. I suggest you must ask your doctor to start treatment with radioactive iodine. It will cure y... Read Full »
TSH and TGAB are high. Could this be Hashimoto's disease or cancer?
Query: Hi doctor, I have done all thyroid tests and worried about the results.TSH is high at 4.56 milli international units per liter and thyroglobulin antibodies were high 2.8 IU/mL. TOP, T3, and T4 were normal; TPO 14 IU/mL and T4 free 0.95 ng/dl. I am having throat pain and I feel like my glands are swo... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Antithyroglobulin antibody can be positive in autoimmune thyroid problem. So, it can be a positive result to have hashimoto's thyroiditis and grave's disease. But, your thyroid hormone level is within range and TSH (thyroid stimulating hormone) not much elevated. So,... Read Full »