Thyroiditis is a condition presenting with inflammation in the thyroid, causing an imbalance (more or less) in the production of thyroid hormones. Thyroiditis occurs in three phases, such as thyrotoxic phase, euthyroid phase, and hypothyroid phase. Fatigue, depression, and weight gain are some symptoms seen in thyroiditis. Beta-blockers help to treat hyperthyroidism, and thyroid hormone replacement helps to treat hypothyroidism.

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Are TSH drops and fast heartbeats normal while on Levothyroxine?

Query: Hi doctor, I am a 53-year-old peri-menopausal woman. My weight is 160 lbs. I had a thyroidectomy ten years before. Since then, I have been taking Levothyroxine 112 mcg daily and was maintaining a TSH level around 3.5 to 5 mU/L. (last good test was four months back with TSH- 4.0 mU/L). However, thre...  Read Full »

Dr. Penchilaprasad Kandikattu

Answer: Hi, Welcome to Sudden drop of TSH (thyroid-stimulating hormone) level may be due to thyroiditis, inflammation, or leak of thyroid hormones. Other possibilities are mistakenly taken excessive levothyroxine dose, or the previous dose may not have absorbed well with immediate food intake...  Read Full »

I have night sweats with hot and cold flashes, and thyroiditis. Why does it happen?

Query: Hi doctor, I had an ultrasound done to check my thyroid. These results are copied directly from the report. It was mentioned that the thyroid gland is larger than normal. The right lobe size is 17x18.8x52.1 mm, and the left lobe size is 13.1x19.2x52.3 mm. Isthmus thickness is normal and is 3 mm. Gla...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I understand your concern. Your reports indicate thyroiditis, and there is no specific treatment other than monitoring you over time, such as every 3 to 6 months, where you must repeat your thyroid function test to ensure that you are not developing any abnormalitie...  Read Full »

Can taking Eutirox cause increased sweating?

Query: Hello doctor, I am 23 years old, male, I have had thyroid issues since a young child, after a few years they concluded it was thyroiditis. Currently I take Eutirox 75 mg and have for about a year, before that I took 50 mg. Ever since 6-8 months (I am not sure about the timeframe) I have had issues...  Read Full »

Dr. Shaikh Sadaf

Answer: Hi, Welcome to You are sweating due to the increased dose of Eutirox and that is perfectly normal and expected in a person with thyroiditis being treated with medication. This only means that you are being correctly treated with respect to your thyroid function. The few white hair tha...  Read Full »

What are the treatment options for Graves' disease when trying to get pregnant?

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 »

Dr. Swaraj Waddankeri

Answer: Hello, Welcome to 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 »

I have been diagnosed with thyroiditis and only take tablet Inderal 20 mg. Is this medication alone enough?

Query: Hi doctor, I had slight dizziness, palpitations, increased heart rate, anxiety, and acidity. I was asked to take a thyroid blood test, and my T4 level was 24.90. T3 and TSH levels were normal. Then I underwent a radioiodine test and was diagnosed with Thyroiditis. Doctor asked me to take tablet Inde...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I understand your concern. I have reviewed the reports (attachment removed to protect the patient's identity). It shows that you have slightly high triiodothyronine (T3), thyroxine (T4), and thyroid stimulating hormone (TSH) levels. That is a good report, and you do...  Read Full »

There is mild swelling near Adam's apple with acute neck and ear pain. Why?

Query: Hello doctor, I have a mild swelling near Adam's apple. I have acute pain in the back of my neck and ears. I got the tests done. The report states TSH is 13 mIU/L and Anti-TPO is 209 IU/mL.  Read Full »

Dr. Divakara. P

Answer: Hi, Welcome to Swelling near Adam's apple is most likely a thyroid swelling. Normal TSH (thyroid stimulating hormone) level is 0.5-5 mIU/L. Your high TSH level confirms that it is a thyroid swelling. Elevated anti-TPO antibody (anti-thyroid peroxidase antibody) suggests autoimm...  Read Full »

Suffering from subclinical hyperthyroidism with anxiety and palpitations.

Query: Dear Doctor, I am trying to figure out what is wrong with my 15 year old daughter. Her symptoms have developed most significantly over the past few months, and include depression, weakness, constant light-headedness, shortness of breath (even when sitting still), difficulty taking a deep breath (ca...  Read Full »

Dr. Meenal Mohit Vohra

Answer: Hi, It is really sad to know about your daughter. 1. As a matter of fact your daughter seems to have acute thyroiditis. Though the thyroid profile has not shown full blown thyrotoxic state, she has subclinical hyperthyroidism with TSH being suppressed. Since how long has she been like this? Thyroidi...  Read Full »

What is the reason for my sister getting her menstrual periods every 15 days?

Query: Hello doctor, This question is regarding my sister. She is 33 years old. She is a mother of 6 year old twins. Two months ago, she was diagnosed with thyroiditis. From the last month, she gets her periods, once every 15 days. Kindly tell me the probable reason and the course of action to be taken.  Read Full »

Dr. Sonal Prasad

Answer: Hello, Welcome to Your sister has subclinical hypothyroidism. Start her on tablet Eltroxin (Thyroxine) 50 mcg, once daily, to be taken early in the morning on an empty stomach. Get the TSH levels repeated after three months. Thyroid abnormalities may be one of the reason for menstrual i...  Read Full »

What does a Hashimoto's thyroiditis attack feel like?

Query: Hi doctor, I am 35 years old male. In my recent blood work, the T4 level is low, indicating hypothyroidism. I also feel a little bit of muscle pain some days. I have a medium hair loss, slight weight loss of around 2 kg every year for the last five years. I feel a little bit itchy and crawling se...  Read Full »

Dr. Nagaraj

Answer: Hi, Welcome to I understand your concern. I believe your TSH (thyroid-stimulating hormone) was 6.2 mlU/L two months back. In any case, TSH is on the higher side more than T4 (thyroxine); it is elevated TSH coupled with low T4 that indicates hypothyroidism (rather a severe one). The sy...  Read Full »

What do high T3 levels and thyroid peroxidase antibodies indicate?

Query: Hello doctor, My free T3 level is 17.6 pmol/L, thyroid peroxidase Ab is 509 IU/ml, plasma-c reactive protein 54.8 mg/L. I would like to get a prescription for thyroid, if needed. I am currently on Bisoprolol 1.25 mg.  Read Full »

Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to You have hyperthyroidism means increased thyroid hormones. Your TPO (thyroid peroxidase) is also increased. How are your symptoms? Like tremors, loss of weight, nervousness, etc.? How bad are your symptoms? Do you have pain in front of your neck? Have you d...  Read Full »

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