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Increased intracranial pressure due to pituitary hyperplasia - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hello dr
User :   gud evening
Doctor :   There are 2 chat windows now
Doctor :  
with your name
Doctor :  
So which one shall we proceed with?

Doctor :   Ok
User :   he gave me ur ref
Doctor :  
Sorry
User :   y sorry dr
Doctor :   This is not the route for superspecialist opinion
Doctor :  
That is not a live chat
User :   then ?
Doctor :  
You can actually speak to our superspecialist
User :   plz tell me how
Doctor :  
via phone
Doctor :  
over a prefixed appointment
User :   number plz

Doctor :  
there are 2 options
Doctor :  
One is get an email and another get a call
Doctor :  
The doctor only will call you
Doctor :  
If you are not getting it
Doctor :   let me know
User :   how much time i have to wait for his opinion
Doctor :   We shall do it at the earliest

Doctor :   Our customer service executive will approach you immediately
Doctor :  
and confirm it with you
Doctor :  
We shall send it to the doctor
Doctor :   Neurologist I mean
User :   ok
Doctor :  
But you will need to make a payment for that
Doctor :  
which is depicted on the link
User :   but i m paid member
Doctor :   Yes I am aware of that

User :   how much i have to pay
Doctor :  
Your membership is for Live chat with the doctor
Doctor :  
But this is out of the package
Doctor :  
This is Superspecialist opinion
User :   cant i chat with neurologist
Doctor :  
It is Rs.599
Doctor :  
Sorry we are only general practitioners here
User :   ok
Doctor :  
Neurologist, live chat is not available
User :   tell me one thing
Doctor :   Sure
User :   my T3,T4 are in range but my TSH=0.01
Doctor :   Ok

User :   wen my thyroid problem was detected my TSH =113
Doctor :   Ok

Doctor :   It would be due to the reversing of the process
User :   15 daya back only my T3 & T4 were high & TSH=0.05
Doctor :   Ok

Doctor :  
That has progressed now
Doctor :  
and hence TSH has further decreased
Doctor :  
as there is more T3 and T4
Doctor :  
TSH will be reduced
Doctor :  
It is the mechanism in the body
User :   but now my T3,T4 are in range then y my TSh is 0.01
Doctor :   TSH is inhibhited

User :   is there any problem with my Thyroid
User :   FNAC report says that there is follicular hyperplasia
Doctor :  
If the thyroid hormones are normal
Doctor :  
and TSH is less
Doctor :  
then it is due to the Pituitary gland
Doctor :  
Follicular hyperplasia means there is increased activity in the thyroid gland
User :   yes that i understand but this happen to me,wat is the cause for that
Doctor :   I repeat

Doctor :  
It is the Pituitary gland which is within the brain if TSH secretion is less
Doctor :  
even though Thyroid hormones are in normal range
User :   y my pituitary gland is secreting less TSH ,that i want to know
Doctor :   For that I would suggest you to speak to your Neurologist

User :   cant u help me out
Doctor :   For a comprehension of your thyroid status in concurrence with your MRI report

User :   ok
User :   yestreday on radiology dr was saying that there is cyst in my pituitary gland
User :   so i m worried n irritating u
Doctor :  
No issues
Doctor :  
Once you speak to our Neurlogists atleast your doubts should go
User :   coz there is empty sella
Doctor :  
Yes
Doctor :  
I know that
User :   how can u know abt my empty sella
Doctor :   I can see it in your chat history
User :   have u seen my mri report
User :   oic
Doctor :  
and also the mail
Doctor :  
Yes
User :   ok then.u r not going to guide me abt my mri
Doctor :   We do but neurologist opinion is required in this case

Doctor :  
We cannot manage all the cases here
User :   but atleast u can tell me dr
User :   what problem i m having
User :   i m going to sue u
User :   i m not going to sue u
Doctor :   With my knowledge I can help you in a limited second
User :   means?
Doctor :  
This empty sella
Doctor :  
could be due to increased intracranial pressure
Doctor :   thyroid problem
User :   wat is the reason for increased intracranial pressure?
Doctor :   It can be due to pituitary hyperplasia
User :   ok
User :   wat r the symptoms of pituitory hyperplasia
Doctor :   Headache is the most common symptom

Doctor :   Visual alterations can occur
User :   that i faced maximum times
Doctor :   Ok

Doctor :  
It favours the same
User :   i feel vomitting at the time of headache
Doctor :  
Ofcourse it is evident
User :   i cant tolerate high music n sound
Doctor :  
you asked about intracranial pressure
Doctor :  
it is due to that
User :   yeah dr
Doctor :  
the increased size pressurises the brain
Doctor :  
and as a result there is vomiting
Doctor :  
Infact effortless vomiting is also seen
Doctor :  
It just throws away
User :   coz on my rightside of head where i feel headache there is little bit bulging area if i touch that area then my headache starts
Doctor :   Ok

User :   less hair on that side also
Doctor :  
But the bulge within the brain cannot felt
Doctor :  
it is due to the blood vessels under the skin
Doctor :  
The brain is within the skull
Doctor :  
Intact skull
User :   oic
User :   i feel dripping pain dr
Doctor :   Ok

Doctor :  
Is there visual disturbance as well?
User :   not as much
Doctor :   Ok

User :   feel uncomfatable in high lights n road lites
Doctor :  
Ok
Doctor :  
As I mentioned earlier
Doctor :  
the optical structures are also affected
Doctor :  
due to the pressure
Doctor :  
and hence visual symptoms
Doctor :  
Is there any thing else I can help you with?
User :   ok
Doctor :   Please fill the feedback form say done when done.
User :   done
Doctor :   Any further queries?
Doctor :   But this is a Superspecialist case

User :   no thanx
Doctor :  
Do remember that
Doctor :  
Either on our website or at your place
Doctor :  
You will need a joint approach of an Endocrinologist and Neurosurgeon for this
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.

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