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My TSH 3rd generation test result shows the value of 5.030 microIU/ml. I am 8 weeks pregnant now. Shall I take medicine or am I ok?

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
During first 12 weeks of pregnancy TSH should be<3, you should take medicine as advised by your doctor.
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I'm 25 years old and undergoing medications for thyroid and pcod. NW I'm taking thyronorm 50 mg. T3 and t4 are n normal range but tsh s 13.4.prolactin is 40. My doctor don't prescribe tablets to lower prolactin level. She said due to increase in tsh level prolactin are elevated so it's not necessary to take tablets separately for this. My doubt is whether I need to take tablets to lower prolactin prob. I have started taking thyroid tablets for almost 28 days. When should I take blood test again to check my tsh level.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
I'm 25 years old and undergoing medications for thyroid and pcod. NW I'm taking thyronorm 50 mg. T3 and t4 are n norm...
lybrate-user ji, Thanks for the query. In hypothyroidism with high TSH prolactin level does go up. Your doctor is right in saying that once TSH is brought down to normal, prolactin will also come down. So there is no need to take any separate medication. You should examine TSH after 6 weeks to see if desired leve (3 to 4 mU/L) is achieved. At that level all the symptoms will be in check. You may check prolactin once hypothyroidism is well controlled. Thanks.
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Hi, I want to know that is any connection between Rheumatoid Arthritis and gastro Problem (Leaky Gut).

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Hi, I want to know that is any connection between Rheumatoid Arthritis and gastro Problem (Leaky Gut).
It is called as Rheumatic arthritis. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Wear elbow brace and wrist brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will help Knee cap will also help to prevent the damaged cartilages. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is Rheumatic arthritis. Which joints you have pain? If your proximal joints (ie. Shoulder, hip & knee has pain) then you can pour hot (warm) water in that area to reduce the inflammation. If you have pain in the distal joints ie. Wrist, fingers, ankle, toes then you can wear either elbow brace or wrist brace which will help you to feel warm and very protective. And also immerse the distal joints in the hot water tub which will help you to reduce the pain. Consult the near by physiotherapy clinic and also consult a general physician to check with your ESR levels to check whether you have inflammation The sound what you hear is called as Crepitus /ˈkrɛpɪtəs/ (also termed crepitation) is a medical term to describe the grating, crackling or popping sounds and sensations experienced under the skin and joints or a crackling sensation due to the presence of air in the subcutaneous tissue. Popping Knees and Crackling Knuckles. Occasionally hearing pops, snaps, and crackles when you bend your knees doesn’t necessarily mean you have arthritis. The kneecap (patella) is the small, convex bone that sits at the front of the knee, shielding the joint.
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Pregnancy - How Can It Affect The Thyroid Test?

MBBS, MD - General Medicine, DM - Endocrinology
Endocrinologist, Kolkata
Pregnancy - How Can It Affect The Thyroid Test?
It is important for you to know how pregnancy affects your thyroid gland. The thyroid hormone plays an important role during pregnancy in the development of the baby and also regarding the health of the mother. If you suffer from thyroid problems during pregnancy, you should take medicines and certain thyroid function tests.

How pregnancy affects normal thyroid function?
The pregnancy hormones known as human chorionic gonadotropin or hCG and estrogen lead to increased thyroid hormone levels in your blood. The hCG made by the placenta stimulates the thyroid to produce excessive hormones. Increased estrogen leads to higher levels of the thyroxine binding globulin, which transports the thyroid hormone in the blood.

Because of these normal hormonal changes, thyroid function tests are difficult to perceive during pregnancy. The thyroid hormone is very important for the normal development of a baby s nervous system and brain. During the first trimester of pregnancy, the foetus depends on the supply of thyroid from the mother via the placenta.

In healthy women, the thyroid enlarges during pregnancy. An enlarged thyroid can indicate a thyroid disease, which should be diagnosed immediately. Thyroid problems are difficult to diagnose during pregnancy because of the increased hormone levels, increased thyroid size, fatigue and other factors.

Hyperthyroidism in pregnancy
Hyperthyroidism may occur in pregnancy because of Graves disease where enough thyroid hormones are not produced. Graves disease is an autoimmune disorder in which the immune system attacks the cells and organs of the body instead of fighting bacteria or viruses. With Graves disease, an antibody is released by the immune system called the thyroid stimulating immunoglobulin or TSI. This causes the thyroid gland to produce excess thyroid hormone. In many cases, the antibody is also associated with eye problems like bulging, irritation and puffiness. Graves disease commonly appears during pregnancy, but women with this disease from before may actually observe improvements in the symptoms during the second and third pregnancy trimesters. The remission or the disappearance of the symptoms of Graves disease may occur due to the general suppression of the immune system, which occurs during early pregnancy. The disease is likely to recur and worsen in a few months after the delivery. It is important for pregnant women with Graves disease to be monitored carefully.


Hypothyroidism during pregnancy may lead to a developmental delay in the child. Sometimes, hormone therapy is given to women who are at the borderline stage in thyroid function during pregnancy or just before pregnancy. The treatment of the condition aims at maintaining a proper and balanced thyroid hormone level in the body.
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I have multi modular goiter for the Last 2 years. Is it necessary to total tyroictomy or any other options. Now my TSH is 2.58.

MBBS, MD
Endocrinologist, Delhi
Your TSH is normal means thyroid status is normal. Surgery is advised for cosmatic purpose or for its pressure effect on surrounding structures or suspected malignancy.
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Shoulder Arthritis - Ways It Can Be Treated!

MBBS, M.S., M.Ch - Orthopaedics
Orthopedist, Lucknow
Shoulder Arthritis - Ways It Can Be Treated!
The shoulders are the most mobile joints in your body. Shoulder joints undergo wear and a tear over time and hence become unstable. Shoulder arthritis is one of the painful conditions affecting the shoulder joints. Arthritis not only takes a toll on the tendons and muscles, but also affects the ligaments and joints too. They usually cause symptoms such as joint pain, resulting in limited mobility.

Treatment:

Nonsurgical or Lifestyle treatments:

Take rest or avoid the activities that provoke pain or change the way of your arm movements.
Physical therapy boosts shoulder mobility.
Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin alleviate pain and inflammation.
Corticosteroid injections in the shoulders can also help to ease the pain and inflammation, although temporarily.
Applying moist heat or ice packs over the shoulders for about half an hour at least thrice a day brings relief.
Drugs such as methotrexate can be administered in case one is suffering from rheumatoid arthritis (a chronic disease attacking multiple joints of the body).
Dietary supplements such as chondroitin and glucosamine may help reduce pain.
Surgical treatments (if your pain results in disability and does not lessen with nonsurgical options)

Join replacement surgery or arthroplasty involves replacing the damaged parts of the shoulder with a prosthetic (artificial) joint.
Few mild forms of arthritis may be treated using the Arthroscopic procedure (minimally invasive surgery). It requires a surgeon to ease the joint pain by making small incisions to clean out the joint. A tiny camera fitted into the joint guides the surgeon through the surgery.
Resection arthroplasty is a method that involves the surgical removal of the bone from the collar bone and substituting it with a scar tissue to treat arthritis of particular joints.
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My mother has creatinine on lower side its 0.4 Please guide is it the cause of concern Currently. she takes b.p medicine and thyroid high tsh medicine Please guide and help.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
My mother has creatinine on lower side its 0.4 Please guide is it the cause of concern Currently. she takes b.p medic...
Lower is normal. No problem. Control fully BP and Thyroid. Any query ask.
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My thyroid test report t3-0.99 t4-11.3 tsh-3.66 want to know do I hv to take tablet?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
lybrate-user ji, Thanks for the query. The thyroid test results mentioned are normal, so there is no reason to worry. Please tell me whether you are already on treatment for hypothyroidism, if not then results are very much normal. Thanks.
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I am patient of hyperthyroidism have been taking methimazole 10 mg daily since 2010. Weight 80 kgs height 178 cm. Thyroid is in control but some in noon I feel restless/anxiety ,week and even feel difficulties to raise hands. After 1-2 hours becomes normal. I feel muscle stiffness in body Please advise Tsh .01 t3.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Mr. lybrate-user, Thanks for the query. Usually antithyroid drug treatment is given for 18 to 24 months. During that period when TSH levels return to around 3 - 4 mU/L (normal range 0.4 to 5 mU/L), thereapy is discontinued. If there is relapse after a few weeks or months same drug may be repeated for another course. However, it is noticed that longer usage hardly produces any benefit. That thyroid function does not return to normal (or remains high). Therefore, I am a bit surprised that you have been on ATD for over 10 years. Another aspect your TSH level is also pretty low (0.01 mU/L), suggestive of not much benefit from the on going therapy. Please clarify if you have consulted any endocrinologist during recent time? If yes what was the opinion of that doctor? Usually to achieve better results other options like Radio Active Iodine (RAI) or surgery are considered when relapses continue to occur. Therefore, please come back with answers to my queries. Thanks.
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Hi sir, Please suggest in my LFT reports some variations are there sgot sgpt GGT values are high No history of jaundice or any hepatitis. Only am having thyroid tsh 6.5. Is there Any treatment for high LFT and TSH?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
lybrate-user ji, Thanks for the query. I have seen the details given, from which I learn that TSH is in the sub-clinical hypothyroidism range and LFT values are high (no details given). Usually sub-clinical hypothyroidism is not treated unless a patient has troublesome symptoms associated with that condition. Since you have not given any values of liver enzymes, there is no way to comment. Regarding thyroid please let me know if there are any associated symptoms. Thanks.
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