Dr. Rachna Mazumder

You have to reduce to 25 Mcg, now itself normal, but maintain with minimal dose after 45 days check only tsh then we can discuss. All the best.

Hello, The solution is to bring TSH level down to 3 to 4 mU/L, then only all the symptoms related to hypothyroidism are in control. You will have to check TSH level after 6 to 8 weeks of starting treatment with thyroxine or the current dose that is being taken. If TSH level is not as mentioned above then dose may have to be increased. Thanks.

take boiled eggs without egg yolk..with milk...7.4 uric acid is well acceptable and demand no treatment increase intake of fluids/water daily..uric acid will wash out of the kidneys

A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.

You will have to be managed closely. Also if you are on any other oral hypoglycemic agents, they need to be discontinued. And your diabetes need to managed with insulin alone prior to surgery. This should help you to reduce your blood sugar

Mr. lybrate-user, Thanks for the query. Please tell whether TSH 60 mU/L value shown is with thyronorm 100 mcg or is it before beginning of the treatment? Because when on treatment with adequate dosage of Levothyroxine, TSH should be maintained around 3 to 4 mU/L. Your TSh value is too high, suggesting uncontrolled hypothyroidism. Plus your USG report talks of multinodular goiter. That needs to be observed periodically. Plus the antibody titre is also very high, suggesting an autoimmune problem. As regards BP, when on appropriate treatment it should be maintained around 120 to 130 /70 to 80 mm Hg. That also needs to be properly treated. If hypothyroidism is not well controlled it does cause depressive tenancy in some persons. If you have any further doubts please come back in a private conversation (paid consultation), where I will be able to give specific guidelines plus prescriptions if needed. As in this communication we are supposed to give only general guide lines, no prescriptions are allowed. Or please consult a local endocrinologist / physician. Do not neglect. Thanks.

You have any signs of constipation ,increased weight , tiredness or feeling so cold ? and how long you taking tyroxin 100 and when you tested for thyroid ? If u tested few days back and your TSH is 60 means 100 microgram not working so take Thyroxin 150 microgram.

Not 2 pegs only 1 peg of 60 ml is good for health if you want more than add more water or soda in it

Mr. Lybrate-user, the problem could be damge to blood vessels supplying to lower limb. To confirm how serious is the problem it is essential to get a colour doppler test as well as angeiography of lower limb vessels. With that it is possible to asses the extent of blood supply. Plus it is vital to have excellent blood sugar control with fasting near 100 mg and pp 150 to 160 mg and hba1c% <7. You are very young, so get these investigations and consult a vascular surgeon along with your diabetologist.

Continue your medicines. Avoid protein intake in the form of suppliments. Take small frequent meals instead of large ones. Plenty of vegetables and salad. Avoid sugar, jaggery,honey, sweets,sweet fruits like mangoes, banana,cheeku, grapes etc. Exercise regularly.