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Done blood test. Kindly advise treatment

DOCTOR OF THE MONTH - Jan 2013
Jan 2013
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Internal Medicine Specialist
Practicing since : 2003
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Question
MY DAUGHTER BLOOD REPORT IS AS FOLLOWS: AGE 21 YRS
NAME XXXXXXX email address :- YYYY@YYYY
T3 107.07
T4 4.70
TSH 112.50

FASTING BLOOD GLUCOSE LEVEL 84
Hb 11.5
KINDLY ADVICE THE DIAGONOSIS AND TREATMENT
Posted Fri, 14 Sep 2012 in Thyroid Problem and Hormonal Problems
 
 
Answered by Dr. Mayank Bhargava 35 minutes later
Hi XXXXXXX
Thanks for posting your query.
1) Thyroid problem: Her thyroid profile indicates that she is suffering from Hypothyroidism. Her TSH is high, T4 is low and T3 is normal. She has to take L-thyroxine (available with name of Eltroxin, Thyrox). Treatment is generally started with low dose and after treatment of 1 month, thyroid profile is repeated and dose is titrated depending on the response. If after 1 month, still TSH is high then dose of L-thyroxine is increased. Follow up for hypothyroidism is decided by TSH.
Diet: She has to avoid cauliflower, cabbage, capsicum, lettuce and broccoli.

2) Blood sugar: Her blood sugar is normal. Any symptoms regarding low blood sugar appears below 40 mg%. So there is no question regarding her blood sugar and mentioned symptoms. As such no treatment is required.

3) Headache: Mentioned symptoms are in favor of migraine. Does she has pulsating headache, nausea/ vomiting, increased headache tendency during menses, exacerbation during light exposure?

You should consult with physician/ endocrinologist and neurologist in details.
Detail neurological examination is mandatory. You should also go for prescribed investigations by neurologist such as CT/ MRI scan.
Put your query if you have.
With wishing speedy recovery,
Dr. Mayank Bhargava
Above answer was peer-reviewed by
 
Follow-up: Done blood test. Kindly advise treatment 2 days later
Does she has pulsating headache, nausea/ vomiting, increased headache tendency during menses, exacerbation during light exposure?

HEADACHE--- SOMETIMES IT IS PULSATING, WHEN IT IS PULSATING THERE IS NO NAUSEA AND VOMITING. HEADACHE IS GENERALLY THROBBING AND SEVERE ONE ON THE VERTEX AND AT THE BACK. NUMBNESS OF HEAD IS ALSO REPORTED, AT THE NIGHT TIME, DURING AND AFTER SLEEP.

IT INCREASES DURING MENSES.

FLICKERING LIGHT INCREASES HER COMPLICATIONS.

THANKS FOR ANSWERING
PLEASE TO CONTINUE TO GUIDE US.
THANKS A LOT.
XXXXXXX F/O XXXXXXX
 
 
Answered by Dr. Mayank Bhargava 7 minutes later
Hi XXXXXXX
Her history are suggestive of migraine and you should consult with physician and neurophysician for proper treatment.
Take care,
Dr. Mayank Bhargava
Above answer was peer-reviewed by
 
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