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Guidance on TSH values and insomnia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Sleep Disorders
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3144 Questions
User :   hi
sir my TSH is 1.05
is it ok
Doctor :   hi
Doctor :   Dr XXX here
User :   sir please let me know whether my tsh is ok
Doctor :   YES IT is normal
User :   and FT4 is 18.81
Doctor :   the normal values range from 0.5 to 5.0
User :   what's your advice on that
User :   sir r u their
Doctor :   yes
User :   Could you please advice me on my FT4
Doctor :   the normal range of Ft4 VARIES
Doctor :   it depends on the lab method uses
Doctor :   do youknow which method was used
User :   PMOL
User :   they are telling normal range 9-20
Doctor :   in case of ELISA, the normal values is b/w 10-20.5
Doctor :   So your test is within normal limits
Doctor :   May I know, why were these tests done
User :   my doctor told if some one cross 22.8 it's hyperthyroid
User :   as i was not getting sleep
User :   test was done
User :   acturally what happen that
Doctor :   may i know your age, occupation?
User :   age :40
User :   occupation : XXX
Doctor :   So you must be stressed at your job?
Doctor :   the inability to sleep is due to a no of causes
User :   actually i was diagnose cataract after that i was tense
Doctor :   did you ever have any eye injury Or DIABETES ?
User :   no
Doctor :   OK
User :   do i need to repeat thrroid test
User :   frequently
Doctor :   NO NEED
User :   just one personal question
Doctor :   RIGHT NOW
User :   r u from india
Doctor :   YES
User :   i too indian
User :   my name is XXX
User :   i am inXXX
Doctor :   GOOD
User :   prsently
User :   after my test i shown report to one other doctor also
User :   she told me that
User :   please repeat your test
User :   after one month
User :   as your FT4 is 18.81
User :   i told my family doctor
User :   who told no need
User :   he tested me twice for THYROID
User :   IN 3 days
Doctor :   your problems dont indicate any tests for thyroid
User :   on day result was .95 tsh and 18.81 ft4
Doctor :   Do you have any swelling in the neck?
User :   no really anything visible
Doctor :   palpitations, sweating, loss of weight anything, ?
User :   i feel tense
Doctor :   prominent eyes, diarhea etc ?
User :   only when i did not get sleep my heart beat increases
Doctor :   anxiety is normal in everyone. that does not mean, you are having thyroid,issues
User :   or when i think of situation that i have problem
User :   it get sweating
Doctor :   any constipation, dry skin, lethargy, gain of weight ?
User :   otherwise just sitting it's ok
User :   no gain
User :   weight is same
Doctor :   ur situation is very common, and nothing to worry about
User :   skin also no change
Doctor :   ok
User :   lethargy only b'casue sleep problem
Doctor :   are you stressed at your job?
User :   i am really confuse with
User :   no
User :   advice given by my other doctor
Doctor :   any family issues ?
User :   to check
User :   thyroid profile
User :   again
User :   i just went to her to show my report
Doctor :   i dont think that is necessary
User :   just want to check on think frankly
User :   is FT4 18.81 is ok
Doctor :   yes that is completely normal levels ; you may need a sleep study
User :   will it change frequently
Doctor :   yes the levels change on a day to day basis, with change in secretion levels, but not drastically , unless you have severe hyperthyroidism
Doctor :   which is not the case with you
Doctor :   are you there ?
User :   yes
User :   thanks
User :   sorry for delay in reply
Doctor :   thats fine
User :   do i need to take any step to maintain FT4 and TSH at good level
Doctor :   not needed
User :   i am worried as FT4 is 18.81
User :   thanks for your guidance
Doctor :   please note, that is completely normal
Doctor :   the basic thing, is that your TSH is normal, which is the main important criteria
User :   ok
User :   when u think i should check thyroid
User :   profile again
Doctor :   For your insomnia, you need not check for upto 6 months
Doctor :   for your insomnia, try some change in lifestyle , which will definitely help you out
User :   ok
Doctor :   Here are some ways you can fight insomnia
take a good bath before you sleep try not to over do it .
have good body massage go for a total body massage
try avoiding coffee or tea during day time
Use the bed only to sleep at night, don't lie on the bed during day time
Doctor :   Gentle, slow music is another remedy that can help to improve sleep
User :   ok
Doctor :   Lack of exercise can contribute to poor sleep.
User :   ok
Doctor :   Exercise can promote deep sleep at night.
Doctor :   BUT intense exercise too close to bed can increase adrenaline levels, AND prevent sleep
Doctor :   So light exercise is good for you
User :   is walk good before meal or after
User :   ?
Doctor :   after meals, a walk will help digest the food
Doctor :   meditation, breathing excercises will also help
Doctor :   Have you followed my advise
User :   yes sir
Doctor :   follow them for a month, and you will definitley benefit from them
User :   thanks
Doctor :   you are welcome
Doctor :   try them, before you go to any more doctors
User :   how much time left more sir?
Doctor :   and get unnescesary work up done
Doctor :   35 secs
User :   oh
Doctor :   Do you have any more query
Doctor :   10 secs
User :   no sir, i think time is over
Doctor :   i hope i have helped you out
Question is related to
Diseases and Conditions
Lab Tests
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