Thyroid Problem

Thyroid, which is a gland in the neck, produces hormones that regulate the metabolism of the body. Thyroid problems can occur due to the increase or decrease in the production of thyroid hormones. The most common thyroid problems are hypothyroidism, hyperthyroidism, goiter, thyroid nodules, and Graves' disease.

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TSH of 5960 and free T4 of 1.14 in an 8-year-old. Should I be worried?

Query: Hello doctor, My 8-year-old daughter had labs done twice now and I have one doctor saying its concerning and another saying they are fine. I need another opinion. Labs done two months ago TSH was 5210 and free T4 was 1.43 and labs done this month are TSH is 5960 and free T4 is 1.14. I have attached ...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I just read your query and from what you have attached (attachment removed to protect patient identity), it appears that your daughter has a slightly high TSH (thyroid-stimulating hormone). As of now, there is no need to take any treatment. However, her tests have to b...  Read Full »

Is hyperthyroidism a serious condition, and what is the treatment for it?

Query: Hi doctor, Is my hyperthyroidism serious? Kindly help.  Read Full »

Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to I understand your concern. Your blood tests (attachment removed to protect the patient’s identity) show you have hyperthyroidism. It means your thyroid gland is producing more thyroid hormones. We need to know if you have any related symptoms like palpitations, tremo...  Read Full »

Can low iodine and selenium in urine cause thyroid problems?

Query: Hello doctor,My son developed anxiety symptoms about four years ago. They came completely out of the blue. He was with someone who now has heart palpitations, sweaty palms and feet, and lightheadedness sitting in the living room. We ran a battery of tests when it first happened including TSH, EKG, l...  Read Full »

Dr. Bindiya Thakkar

Answer: Hello, Welcome to Based on the details and the labs attached (attachment removed to protect patient identity), it seems very unlikely that the symptoms are coming from a thyroid issue. Urine iodine is really not helpful clinically in this case. Given the family history, I would ask ...  Read Full »

Will I have any problems during pregnancy if my thyroid peroxidase antibody levels are 600 IU/ml?

Query: Hello doctor, I am a 39-year-old female, and I am ten weeks pregnant. I am taking the tablet Thyronorm 112 mg. I underwent a thyroid peroxidase microsomal antibody test, and my level was reported to be 600 IU per ml. Will I have any problems with pregnancy?  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I think you have hypothyroidism from the attached reports (attachments removed to protect the patient's identity). You have antibodies against your thyroid gland, so the gland is not functioning correctly. Therefore, I suggest you take the medications to decrease thy...  Read Full »

My wife has been under thyroid medications for the past eight years. Can she stop taking them since her thyroid levels are normal now?

Query: Hi doctor, My wife has had thyroid for seven years. She got pregnant three years back. She had tablets Thyronorm 100 mcg during the entire pregnancy period and before that. I am attaching two reports taken three years back. Last year she took another test, her levels were low (reports attached). The...  Read Full »

Dr. Thiyagarajan. T

Answer: Hi, Welcome to I recommend (consult with a specialist doctor, talk with him or her and take medicines with their consent) decreasing the tablet Thyronorm (Levothyroxine) dose to 50 mcg daily. I suggest you repeat TSH (thyroid-stimulating hormone levels) and FT4 )(free thyroxine) in...  Read Full »

Why am I suffering severe hair fall despite no major medical conditions?

Query: Hi doctor, I am a 29 year old female. I have severe hair fall. I take multivitamins and iron pills daily for iron deficiency. I have tried biotin, expensive shampoos, conditioners, leave-in conditioner, etc. Nothing seems to be working. I wash my hair every other day because it tends to get very...  Read Full »

Dr. Jyotisterna Mittal

Answer: Hi, Welcome to Excessive hair fall can be due to male or female pattern baldness, physical illness or mental stress in the past three to six months, low serum ferritin, nutritional deficiency, certain medical conditions like thyroid problems and other hormonal disorders, after cosmetic ...  Read Full »

Is it acceptable for my wife to take thyroid medicines during pregnancy?

Query: Hello doctor,My wife is five months pregnant. We had done a TSH level test in the second month. It showed 8.8. Then the gynecologist put her on 50 mcg Thyronorm tablets. Yesterday we went for a check-up. She ordered a thyroid profile test as well as a TIFFA scan. Is there any problem? I am uploa...  Read Full »

Dr. Swaraj Waddankeri

Answer: Hello, Welcome to I have seen her reports (attachment removed to protect patient identity). The medicines were required and hence she was started on those. That was the right thing to do. Continue to take the same dose. Repeat the TSH (thyroid stimulating hormones) and FT4 after a mont...  Read Full »

Can I become an oral surgeon if I am suffering from extensive hand tremors?

Query: Hi doctor, I am a first year BDS student. I have tremors in my hands whenever I apply force or hold an object with some pressure. I want to become an oral and maxillofacial surgeon or orthodontics. Can I become a dentist despite these tremors? Can the tremors be reduced?  Read Full »

Dr. Nida Shahab

Answer: Hi, Welcome to There are many causes for tremors, during student life it is very common because of anxiety and tension. It can also be due to abnormal thyroid level or hypoglycemia. First of all, try to reduce your anxiety or tension and get a proper medical checkup including, ECG (elec...  Read Full »

What affects the activity and effectiveness of Synthroid?

Query: Hello doctor, I have been taking 50 mcg of Synthroid for many years. Today my doctor says my numbers got lower and she wants to increase my level of Synthroid a little. She asked if I take any calcium supplements but I do not. However, I read about things that could affect absorption of Synthroid l...  Read Full »

Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to I went through your post. Foods such as cabbage and cauliflower have been seen to contain anti-thyroid properties and these are to be avoided totally if one has hypothyroidism. The foods which you have mentioned do inhibit absorption of thyroid if taken simultaneously....  Read Full »

I am sleeping more, and I feel low recently. Kindly help.

Query: Hi doctor, I am 26 years old. I have noticed that I have been sleeping a lot more than usual for the past few days, and I feel very low. Nothing around me feels good, and my hands and legs are numb if I do not move them for a prolonged period. Please help me with the right advice.  Read Full »

Dr. Arpit Varshney

Answer: Hello, Welcome to The symptoms you stated take us to three possible differential diagnoses. 1. Get TSH (thyroid-stimulating hormone), T3, andT4 levels tested. If any abnormality is found, treatment will be started with one tablet once a day, and your symptoms will resolve in a ...  Read Full »

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