Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
129 Doctors are Online

Thyroid problem hypo state - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   I am suffering from Thyroid disorder
Doctor :  
Ok
User :   some time its Hypo or sometime Hyper
Doctor :   Were you diagnosed with the same?
User :   yes
User :   recent test report shows
Doctor :   Ok

Doctor :   Since when are you having this issue?
User :   T3: 318, T4: 18.10 and TSH 0.05
User :   since 10 years
Doctor :  
Ok
User :   FNAC report: Follicular Hyperplasia
Doctor :  
With what were you diagnosed initially?
Doctor :  
Hypo/hyper
User :   Hypo thyroid
Doctor :   Ok

Doctor :  
The one you have put is the latest, right?
User :   yes thats the lastest
Doctor :   Fine

User :   sunday another test will be conducted for Thyroid profile
User :   Monday is the Scan due
Doctor :   Ok
User :   is something to worry
Doctor :  
I will tell you
Doctor :  
May I know your age,gender,height,weight and marital status?
User :   ok
User :   41, female, 59 Kgs and Married
Doctor :   Ok

Doctor :  
Do you have kids?
User :   no
Doctor :   Ok

Doctor :   Now let me tell you
User :   ok
Doctor :  
As you are aware
Doctor :  
You were being treated for hypo state
User :   yes
Doctor :  
Now the medications you are taking is slightly more in dosage
Doctor :  
hence you have gone to hyper state
User :   but all medicine has been stopped for last 10 days
Doctor :  
thats why monitoring will be done to check the status
Doctor :  
Though it is stopped
Doctor :  
the after effects will still last
User :   Eltroxin 50 mg I was taking
Doctor :  
It is at the cellular level
Doctor :   Ok

User :   but it was stopped 2months back
Doctor :  
Were you asked to stop the medication?
User :   I was also using Homoepathy treatment
Doctor :   Ok

Doctor :  
I cannot comment on Homeopathy
User :   yes by homoepathic doctor
Doctor :   and I also suggest you to follow one stream
User :   now allopathic Dr. also told me to stop all kinds of medicines
Doctor :  
because it can lead to cross interactions
User :   ok
Doctor :  
We really donno what you are being given in other streams of medicine
User :   but can you tell me follicular hyperplasia is it dangerous
User :   ok
Doctor :  
as there is no standardised procedure
Doctor :  
No
Doctor :  
Follicular hyperplasia indicates that
Doctor :  
the glandular activity is hight
User :   ok
Doctor :   So, now as per modern medicine

Doctor :  
our goal is to regulate the thyroid levels in the desired range
User :   yes
Doctor :  
irrespective of taking medication or not
Doctor :  
Now since it is more
User :   My brother in law are also Doctor in family
Doctor :  
obviously no treatment is required with Eltroxin
Doctor :  
Ok
Doctor :  
The goal now is to again monitor
Doctor :  
and if found still high
Doctor :  
then you will be given medications to supress the activity
User :   Hope you you must be know Dr. XXXXXXXX tyagi, Registrar DMC
User :   will it reguire any surgery
Doctor :  
Since when have you been noticing hyper state?
User :   i am also facing palpitation
Doctor :   I am from Bangalore, sorry I do not know

Doctor :  
Yes, that is a sympton
User :   ok
Doctor :  
But wrt to blood tests when were you seen with increased levels?
User :   When FNAC was being done my BP went Extreme low
Doctor :   Ok

User :   Earlier it was too increased sometime five years back
Doctor :   Ok
User :   at that time i was taking 150 Mg of Eltroxin
Doctor :  
I hope you are on regular follow up
User :   and the Doctor kept on increasing and suddenly i went in Hyper state
Doctor :  
At what intervals do you undergo thyroid profile tests?
User :   yes now regular follow up
Doctor :  
Ok
User :   after every 2-3 months
Doctor :  
That is the most essential part of treatment
Doctor :  
Go on with the same
Doctor :  
Now wrt your further tests
Doctor :  
there is nothing to worry
Doctor :  
Scanning would for a detailed description
User :   ok sir as I am very much worried
Doctor :  
Nothing more than that
Doctor :  
If still it is hyperthyroid
Doctor :  
and you are facing problematic symptoms
User :   there is no chance that I might have Thyroditis
Doctor :   Thryoiditis

Doctor :  
is an inflammation of thyroid gland
User :   what can be the chances wrt sunday's Thyroid profile will it be normal as no medication
User :   ok
Doctor :   So, you need not worry much wrt that

Doctor :  
now, go on with the thyroid scan
User :   ok
Doctor :  
That will be of more detail
Doctor :  
and get back to us with results
User :   so I should not worry at all?
Doctor :   No,

Doctor :  
Because that will worsen the thyroid symptoms
User :   what should i do in case of fast heart beat as it can lead to heart failure
Doctor :  
Do not think too much of the possibilites
User :   ok
Doctor :  
as it will lead to confusion
User :   ok sir
Doctor :  
Are you on any medications right now?
User :   no medication
Doctor :   Fine

User :   will have to report to Dr on 25th Nov
User :   till than Dr told me not to take any medicine
User :   only Ciplar 10 mg SOS
Doctor :   Ok, fine

Doctor :  
Ok
Doctor :  
That is what I was tending to ask
Doctor :  
it is to improvise the symptoms
User :   ok
Doctor :   Is there any thing else I can help you with?

User :   I will revert with Thyroid Profile report on Sunday or monday
Doctor :   Sure
User :   and Scan report by Tuesday
Doctor :  
That is fine
User :   Also one more problem about cyst
Doctor :   Ok

User :   i have multiple fibrocystic disease in my breast
Doctor :   Ok

User :   is it due o thyroid?
Doctor :   Thyroid has certain effects on the entire endocrine system

User :   ok
User :   can it improve with the improved endo system
Doctor :  
Estrogen is one of the key causes
User :   is it possible for you to suggest good Endo Dr in Delhi
Doctor :   Hence there is a relation
User :   ok
User :   at present Dr. Anoop Mishra HOD of Fortis is taking care of my case
Doctor :  
Ok
User :   how about INMAS hospital any Idea
Doctor :   Yes, it is wrt to radioactive medicine
User :   is it advisable to have second opinion from other Dr's as well
Doctor :  
if I am not wrong
User :   yes INMAS is for dat only
Doctor :  
Regarding line of treatment?
User :   yes line of treatment
Doctor :   Ok

Doctor :  
What have you been suggested right now?
User :   Dr. Anoop Mishra of Fortis Suggested Rx: To Stop Eltroxin, have SCAN and Thyroid profile test done. Ciplar 10 mg SOS and called up on 25th Nov
Doctor :   Ok

User :   Second Dr. Suggested same but added FNAC
Doctor :  
Wrt to breast problem?
User :   Mammography to be done
Doctor :   Ok

Doctor :  
That is ofcourse the key test
User :   and some medicines which I have forgotten
Doctor :  
Thats fine
User :   I will let you know tomarrow
Doctor :  
Have you undergone any procedure with respect to that?
User :   Ditide once a week
Doctor :   Ok

User :   and two I think are vitamins tabs
Doctor :   Ok

Doctor :  
Fine
User :   as cysts are painfull
Doctor :   Ok

Doctor :  
Have you been diagnosed with high BP?
User :   primrose 1000 mg and Evion 500 mg
User :   no not high BP
Doctor :   Ok

Doctor :  
But who has prescribed Ditide?
User :   Oncologist
Doctor :  
Ok
User :   should I not take
Doctor :   I cannot conclude that
Doctor :  
without a detailed examination
User :   he was the second Dr to be consulted
Doctor :  
I suggest you to ask the doctor regarding the purpose of Ditide
User :   He examined me for Thyroid and Cyst
User :   ok today I will call him
Doctor :  
also tell him that you had low BP during the test which you mentioned me
Doctor :  
Same you tell him
User :   i was supposed to ask him
User :   ok sir
Doctor :   Do you have any other query Sushma?

User :   sir will you be online tomarrow or someone else will be there
Doctor :   Yes

Doctor :  
You can ask for Dr.Bharath
User :   as if someone other then again I have to tell from the beging
User :   ok sir
Doctor :  
or even select the name before you chat
User :   ok fine
Doctor :   No problem with that
User :   thank you very much
Doctor :  
Please fill the feedback form say done when done.
User :   ok
User :   i hve sent
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   thanks a lot
User :   sure I will definately tell
Question is related to
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor