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My tsh is 14. T3, t4 normal. I'm a boy 24 years age, having thyroid problems since 4 years. Which potency thyronorm should I choose, 100 mg or above it?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad  •  51yrs exp
My tsh is 14. T3, t4 normal. I'm a boy 24 years age, having thyroid problems since 4 years. Which potency thyronorm s...
Mr. lybrate-user kumar, thanks for the query. I have seen the details posted. At your age tsh is quite high. It would have been better if you had given t3 & t4 values also. Without knowing what symptoms you have and nothing is mentioned about lipid profile, as in hypothyroidism lipids also are deranged, it is difficult to any answer on the dosage. Further in this communication we are supposed to give general guidelines, no drugs can be recommended or prescribed. So please come back in a private conversation with all the information, plus also inform about current dietary habits, extent of exercise. Then I will be able to guide specifically. Thanks.
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Doctor mam. Do you mean to stop feeding him lactogen? Or do you mean to say that feed him lactogen through spoon? My milk isn't enough for the baby and he hardly sleeps 30 min when I breast feed him for 40 min.

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist, Bokaro Steel City  •  34yrs exp
Doctor mam. Do you mean to stop feeding him lactogen?
Or do you mean to say that
feed him lactogen through spoon?
My ...
It seems he is not getting enough milk. Lactogen is fine if he is accepting it and is gaining weight. Spoon is better than bottle. For more details on baby care you should consult a pediatrician. Meanwhile you should try to augment your milk with the help of medicines and appropriate diet. For more details you can contact me.
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From last one years I am having sleep disorder and nw I am feeling very lethargic anxiety and depression from last 3months you am having lonazep 0.5 and topaz 25 I want to leave this medicine and wants alternative treatment since these medicines r also not able to make me sleep properly pls advise.

Reparenting Technique, BA, BEd, Transactional Analysis
Psychologist, Bangalore  •  51yrs exp
From last one years I am having sleep disorder and nw I am feeling very lethargic anxiety and depression from last 3m...
You should consult your doctor for your sleep problems because both medicines can make you sleepy and drowsy. So maybe the dose may need to be reviewed. Weight gain is also one of the side effects and you need to monitor your eating and exercise habits regularly. Your intention of leaving the medication is good but not until your problem is resolved entirely. I recommend that you go for some therapy and learn some skills, techniques, and tools to handle your condition psychologically. Life is full of problems as a norm. Any attempts to escape will never help and lead to anxiety: you must learn to face these problems every day with good success. The counselor will help you in this regard. I also firmly believe that every crisis offers an opportunity for change if you seek it and grab the opportunity. Please meet with a counselor and work on your emotions, particularly anger. Exercise is very important but you have to build on it developmentally. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend yoga classes, etc. Watch sitcoms on tv or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it, and relating to it. Expose yourself to some sunlight every day, at least 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in god to alleviate your sufferings. Don’t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression and anxiety rather easily and quickly. A counselor is there only to facilitate you, all the hard work must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be content with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. Whatever happens please cooperate with the therapy and medicine, and do not discontinue until the condition is completely resolved.
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I am 29 years old, during the cavity period I was finding it hard to breathe and also having dizzy spells. Fast forward to a few months later, I started noticing traces of blood in my saliva in the morning. Two days ago I noticed again and it was more visible, then last night I was drinking water and started feeling my nose block and was finding it hard to breathe again then I started feeling this metallic taste in my mouth, I spited and my saliva had blood in it again. I’m worried now.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai  •  28yrs exp
I am 29 years old, during the cavity period I was finding it hard to breathe and also having dizzy spells. Fast forwa...
Kindly consult a physician for covid opinion & treatment. Kindly consult a dentist in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. You may need deep cleaning along with surgical curettage or gum strengthening procedure. Rinse your mouth thoroughly with a mouth wash after every meal. Use pepsodent tooth paste & gum paint for 2 to 3 weeks. Advance procedures can be done with laser. You may consult me in person.
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I am 24 year old boy I am suffering from sleeplessness within 2 month my sleep cycle was disturbed. Feeling tried and stress taking clonafit plus tablet within within 2 month nurokind lc it is short term insomnia waiting your answer.

BHMS
Homeopathy Doctor, Noida  •  26yrs exp
I am 24 year old boy I am suffering from sleeplessness within 2 month my sleep cycle was disturbed. Feeling tried and...
Do you nap in daytime or do you sleep till late in morning. If yes then stop it. U need to change your habits. Try to go to bed early. Stop watching tv or mobile phone etc atleast an hour before going to sleep. Drink warm milk before going to bed. Even if you not able to sleep do not start chatting on what's app or face book etc. Don't sleep till late in morning. Eat healthy well balanced food. Finish your dinner at least 2 hours before bed time. Also dinner should be light do some kind of exercise daily. For this homeopathy is very effective. Consult me online with details.
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Hello doctor, I am 41 old male. Since last 15 days I am having pain in the middle of my right side hip. This pain is similar like it pains during injection. Pain starts from mid hip till end of the leg. Besides this in the lower back I feel like stiffness which reduces when I apply ointment like volini. Kindly suggest. My rheumatoid factor is 15.3.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai  •  25yrs exp
Hello doctor, I am 41 old male. Since last 15 days I am having pain in the middle of my right side hip. This pain is ...
Back pain / sciatica: back pain can affect people of any age, for different reasonsas people get older, the chance of developing lower back pain increases, due to factors such as previous occupation and degenerative disk disease. Lower back pain may be linked to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, lower back muscles, abdominal and pelvic internal organs, and the skin around the lumbar area. •acute pain starts suddenly and lasts for up to 6 weeks. •chronic or long-term pain develops over a longer period, lasts for over 3 months, and causes ongoing problems. Home advise: •resting from strenuous activity can help, but moving around will ease stiffness, reduce pain, and prevent muscles from weakening. •applying heat, ice, ultrasound, and electrical stimulation — as well as some muscle-release techniques to the back muscles and soft tissues — may help alleviate pain. •as the pain improves, the physical therapist may introduce some flexibility and strength exercises for the back and abdominal muscles. Techniques for improving posture may also help. •the patient will be encouraged to practice the techniques regularly, even after the pain has gone, to prevent back pain recurrence. Regular exercise helps build strength and control body weight. Guided, low-impact aerobic activities can boost heart health without straining or jerking the back. Before starting any exercise program, talk to a health care professional. There are two main types of exercise that people can do to reduce the risk of back pain: •core-strengthening exercises work the abdominal and back muscles, helping to strengthen muscles that protect the back. •flexibility training aims at improving core flexibility, including the spine, hips, and upper legs. We suggest you to wear lumbosacral corset (belt) which is available at our clinic. If you want you can buy from us, if you are far away from chennai we can send you by courier. The reason why we are conveying you to buy from us is we can demonstrate over the videocall (using whatsapp) and also we can monitor you throughout when to wear it and how long to wear it. And also if you find any difficulty wearing the brace you can also revert back to us for few more suggestions and we can propose you good solution how to go about it. Uses of lumbosacral corset (belt) a lumbosacral corset adds pressure to the intra-abdominal area. This adds stability to the spine. It is prescribed to people suffering from moderate to severe pain. Other benefits of using a lumbar spine belt are: 1.helps in a certain degree of immobilization of facet joints. 2.reduces pain to allow continuation of normal activities. 3.speeds up the healing process. 4.the pressure exerted by a lumbar spine belt helps in stretching the erector spine muscles. 5.this belt can also be used to support the lower back while exercising. Ohelps prevent rolling oprovides stability to lumbar and sacral regions of the back ocan be used when performing actions like lifting and handling heavy items ocan also be used when playing sports orestricts back movement to aid treatment of back problems do’s and don’ts sitting do: • sit as little as possible and then only for short periods. • place a supportive towel roll at the belt line of the back especially when sitting in a car. • when getting up from sitting, keep the normal curves in your back. Move to the front of the seat and stand up by straightening your legs. Avoid bending forward at the waist. • try to keep the normal curves in your back at all times. Don’t: • do not sit on a low soft couch with a deep seat. It will force you to sit with your hips lower than your knees and will round your back. You will loose the normal curve in your back. • do not place your legs straight out in front of you while sitting (e.g. Sitting in the bath tub). Standing do: • if you must stand for a long period of time, keep one leg up on a foot stool. • adapt work heights. Don’t: • avoid half bent positions. Lifting avoid lifting if you can. Do: • use the correct lifting technique. Keep your back straight when lifting. Never stoop or bend forward. Stand close to the load, have a firm footing and wide stance. Kneel on one knee, keeping the back straight. Have a secure grip on the load and lift by straightening your knees. Do a steady lift. Shift your feet to turn and do not twist your back. Don’t: • do not jerk when you lift. • do not bend over the object you are lifting. Lying do: • sleep on a good firm surface. • if your bed sags, use slats or plywood supports between the mattress and base to firm it. You also can place the mattress on the floor, a simple but temporary solution. • you may be more comfortable at night when you use a pillow for support. Don’t: • do not sleep on your stomach unless advised to do so by your doctor or physical therapist. Bending forward do: • keep the natural curves of your back when doing these and other activities: making a bed, vacuuming, sweeping or mopping the floor, weeding the garden or raking leaves. Coughing and sneezing do: • bend backwards to increase the curve of your back while you cough or sneeze. Driving a car do: • drive the car as little as possible. It is better to be a passenger than to drive yourself. • move the seat forward to the steering wheel. Your seat must be close enough to the wheel to keep the natural curves of your back. If your hips are lower than your knees in this position, raise yourself by sitting on a pillow. Exercises for low back pain safety guidelines • an increase in your low back pain can be expected with these exercises. This is acceptable as long as your leg symptoms are not increasing. • if while doing these exercises, your pain worsens or you have new pain or symptoms, stop the exercises and discuss your symptoms with your doctor or physical therapist. • stop exercising and let your doctor or physical therapist know right away if you have any change in your bowel or bladder control or any increase in weakness in your leg or foot. Exercises ‰ •press-ups: keep your back and buttocks relaxed and use your arms to press up. Concentrate on keeping your hips down and push up your upper body as high as possible. •double knee to chest: grasp both your knees with your hands and pull toward your shoulders. Hold the stretch for 1 second. Let your knees return, but keep them bent at arms length. ‰ •lumbar spine stretches: lie on your back. Bring your knees towards your chest. Rotate your knees towards the pain. •side-lying position: lie on your side and face forward. Have both arms straight in front and bend your knees. Turn your head as you move your top arm across your body as far as you can. Keep your arm in place and turn your head back to the starting position. Look back again and turn your head farther if you can. Bring your head and arm back to the starting position. Relax and repeat 10 times on each side. •hamstring stretch: lie on your back with your legs out straight. Raise your leg up and put your hands around the upper leg for support. Slowly straighten the raised knee until you feel a stretch in the back of the upper leg. Hold, then relax and repeat 10 times on each leg. •standing arch: stand with your feet apart and hands on the small of your back with fingers pointing backwards. Bend backwards at the waist, supporting the trunk with your hands. Keep your knees straight. Hold for 5 seconds. Repeat 3 to 5 times. Side glides: stand at a right angle to the wall about 2 feet o eliminate your pain improve your muscular endurance and strength attain better posture, balance, body awareness and co-ordination improve your balance and flexibility learn to lift properly. posture when standing: make sure you have a neutral pelvic position. Stand upright, head facing forward, back straight, and balance your weight evenly on both feet. Keep your legs straight and your head in line with your spine. Posture when sitting: a good seat for working should have good back support, arm rests and a swivel base. When sitting, try to keep your knees and hips level and keep your feet flat on the floor, or use a footstool. You should ideally be able to sit upright with support in the small of your back. If you are using a keyboard, make sure your elbows are at right-angles and that your forearms are horizontal. Shoes: flat shoes place less of a strain on the back. Driving: it is important to have proper support for your back. Make sure the wing mirrors are properly positioned so you do not need to twist. The pedals should be squarely in front of your feet. If you are on a long journey, have plenty of breaks. Get angle. Out of the car and walk around. Bed: you should have a mattress that keeps your spine straight, while at the same time supporting the weight of your shoulders and buttocks. Use a pillow, but not one that forces your neck into a steep.
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I have two lumps, one each on both the inner cheeks. Please suggest what is it and who to consult.

Ph 9477246755 Online Consult Fees 2000 Rupees
Homeopathy Doctor, Kolkata  •  7yrs exp
I have two lumps, one each on both the inner cheeks. Please suggest what is it and who to consult.
These may be fatty tissue growth--lipoma---tonsil---adenoid---small tumour etc ●yes lumps in inner cheeks can be permanently cured with homeopathy treatment.●very effective medicines are there in homeopathic ●with my treatment of 1.5 month you will get permanent relief. ●will prescribe the complete treatment ●you can consult me now through Lybrate warm regards.
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मेरे चहरे पर झाइयां गयी है मेरी उम्र 26 है अभी unmarried हूँ मुझे कोई देसी इलाज बताये जिससे ये पूरी तरह से खत्म हो जाये

BHMS
Homeopathy Doctor, Ghaziabad  •  8yrs exp
मेरे चहरे पर झाइयां गयी है मेरी उम्र 26 है अभी unmarried हूँ
मुझे कोई देसी इलाज बताये जिससे ये पूरी तरह से खत्म हो जाये
Apply kojic cream on your face in night and drink water 5-6 ltr daily, and you can apply potato'juce on face. Definitely you will get best result.
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I am purposefully creating thoughts .now I can't stop them or remove them .i am currently on following medication fluvoxin 50 mg arip mt 2.

MD - Psychiatry
Psychiatrist, Dharwad  •  5yrs exp
I am purposefully creating thoughts .now I can't stop them or remove them .i am currently on following medication flu...
The information given is too less to suggest any modifications but I beleive that you are suffering from ocd and your repetitive thoughts are because of neurochemical imbalances at brain. It is not voluntarily created. Having guilt that you are the culprit could be part of depressive symptoms which are common with ocd. Kindly consult online for detailed evaluation and better guidance.
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I had used skinlyte cream for 3 days my skin got burnt and it’s been 1 month still the black marks are not going my doctor suggested me to use nilac gel and brite cream I am using it since 3 days, can anyone tell me how many days it will take to remove the black marks by this creams and the marks are temporary or permanent.

Advanced Aesthetics, M.Ch - Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Indore  •  43yrs exp
I had used skinlyte cream for 3 days my skin got burnt and it’s been 1 month still the black marks are not going my...
Colour: the scar undergoes colour changes spread over 2-4 months. Redness seen in 2-4 weeks. Then for 2-3 months it may look bluish black. At 4-6 months or earlier it starts becoming normal. Https://youtu. Be/muwxswmoly8 how scars behave over time see a plastic surgeon or dermatologist who will assess the problem and then prescribe. Its in your interest not to go for an online prescribed medication. Its difficult ,rather impossible to give a prescription online without seeing a patient
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