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What medicine should be taken for thyroid problem during pregnancy? - Online Doctor Chats

Date : 29-Dec-2013
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:How can I help you?
User:This is XXXX here..
User:I want to check on Thyroid for my wife..
User:During pregnancy she had Thyroid problem and now T3, T4 and TSH is in normal...
User:Currently she is undergoing Aryurvedic treatment..
User:Just a min..
User:i am trying to check with my wife on Anti-thyroid level which seems to be high..
User:plz give me another 2-3 minutes.
Doctor:If you are busy, I suggest you to close this chat and login again once you are fre.
User:Anti-Thyro Globlin
Doctor:Are you there?
User:Anti-Thyro Globlin (Anti-bodies): 334 Iu/mL
User:yes.. i was typing and was on the other call..
Doctor:Please proceed with your query if you are free now.
User:My question was that should be take any medicine for this..
User:As Anti-Thyro Globlin level is increasing for each and every test.
Doctor:May I know who ordered for this test?
Doctor:And do you know the reason why it was ordered?
User:As she had Thyroid so the Aryurvedic doctor suggested for the test..
Doctor:I would also like you to give me the reference range mentioned in the report since reference standards are different for different laboratory.
User:Sure just a min
Doctor:Let me brief you.
Doctor:Antithyroglobulin antibody is found positive in a few conditions. Some of them are benign ones and recover over a period of few months
Doctor:but a few of them persist for life.
Doctor:They are associated with abnormal thyroid hormone levels.
Doctor:We treat such conditions based on whether this condition is a benign one or a permanent one.
Doctor:If your wife is clinically asymptomatic and has no other clinical symptoms, she would just need periodic monitoring.
Doctor:However before we take a call on the treatment strategy, she will need a detailed evaluation of thyroid function.
Doctor:As a physician, I am unaware how an ayurveda expert would handle this condition.
Doctor:But in modern medicine, she needs to consult an endocrinologist who will first check her thyroid gland and its function (both clinically and via laboratory test)
User:Where is your clinic located?
Doctor:If they seem normal, she might be referred to an rheumatologist for autoimmune antibody work up
User:We visted XXXXXXX Apollo and he recommended Zevit tablets..
Doctor:She can be treated under the care of endocrinologist as well as rheumatologist.
Doctor:Zevit is a vitamin pills. Like I said earlier if your doctor feels this is a benign condition we do not prescribe specific medication.
User:do you think this tablet is fine, as it is just a B-complex..
Doctor:Zevit is just a supplement - a non specific treatment for benign rise in antithyroglobulin antibody.
Doctor:If you have consulted an endocrinologist, I would urge you to continue following up with him/her.
Doctor:i would be happy if she continues to be asymptomatic and her thyroid hormones are normal.
User:He was ENT doctor, but inturn contacted his friend who is thyroid specilist..
User:can you plz refer to some good endocrinologist.
Doctor:If the antithyroglobulin antibody remains persistently high say after 6-8 months, she can be evaluated further.
Doctor:May I know which part of Bangalore you are from.
User:yes it is more than 6 months..
User:initially it was around 100 and later it was increased to 200 and now it is 300
Doctor:You can contact Dr. Anantharaman from St. Johns hospital.
Doctor:You can inform him that you are referred from XXXXXXX
Doctor:He knows about us and should guide you rightly.
Doctor:Do you have any other questions?
User:Thanks XXXXXXX ..
Doctor:You are welcome.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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