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Blood test showed low TSH value. What precaution and medication to follow? - Online Doctor Chats

Date : 04-Jun-2013
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:Good afternoon
User:hi doctor
User:good afternoon
User:Hello Madam How are you ?
Doctor:I am good
Doctor:How are you?
User:one query
User:I recently went through a Master Health Checkup program and my reports indicate that my TSH levels are
User:thyroid stimulating hormone
Doctor:It seems like a hyperthyroid state
User:yes...even the physician that i consulted told the same
User:are there any other tests that i need to take
Doctor:There seems like there is excess thyroid hormones
Doctor:You may have to take anti-thyroid drugs for the same
Doctor:sometimes surgery can be opted too
User:are they steroids ?
Doctor:These are anti-thyroid drugs
User:can this be corrected with medicines ?
Doctor:Yes, sure
Doctor:It can be correctedd
User:is this level too low
User:how long will it take to cure..
Doctor:It will take a minimum of 6 months to show improvement
Doctor:It is definitely low
User:is it just for a course or should i take the drugs lifelong to maintain ?
Doctor:Hyperthyroid states are better treated by surgery
Doctor:so that you do not need to take the medicines longer
User:what kind of surgery would it be
User:invasive ?
Doctor:Usually a hemi-thyroidectomy is done
Doctor:Radioiodine ablation is also done
Doctor:It is invasive
User:can u explain in smple terms
Doctor:In simple terms
Doctor:The thyroid tissue which is over active is destroyed using radio-iodine or it is removed by surgery
Doctor:It is an elective procedure
Doctor:invasive though
User:how long will the surgery take
Doctor:Surgery will take a few hours
User:got disconnected
Doctor:It's ok
Doctor:are you there?
Doctor:It seems like you moved out of the chat window
Doctor:Please log in again to chat with our doctors
Doctor:Dr. XXXXXX here
Doctor:Please proceed
User:Are there any other tests that I should goa thru apart from TSH
Doctor:You need to get a thyroid ultrasound scan done
User:what is t3 ,t4
Doctor:T3 and T4 are free thyroid hormones in the blood
Doctor:Please XXXXXXX a thyroid specialist
Doctor:Whether to go in for medical management or to opt for surgery can be decided upon by him
Doctor:Yes, you can XXXXXXX an endocrinologist
User:can you suggest some doctors
Doctor:Please confirm your location
User:dad's place:perambur
Doctor:I am sorry
Doctor:Which city is it?
User:office :siruseri
Doctor:where do you want to XXXXXXX the specialist
Doctor:In chennai, right?
Doctor:Please confirm your contact number
Doctor:Our customer care will guide you further on this
Doctor:Do you have more queries?
User:yes i have
Doctor:Please proceed
User:symptoms of hyperthyroidism
Doctor:Hot extremities
Doctor:weight loss
Doctor:increased menstruation
User:mood swings...:-)
Doctor:There is mood fluctuations in Hyperthyroidism
User:can it be fatal if left untreated ?
User:i have some of these symptoms
Doctor:I am sorry about that
User:is there any natural cure?
User:thats ok..
User:like with vegetables,fruit
Doctor:It needs medical management
User:what causes this ?
User:i know it is overactive thyroid
Doctor:It is idiopathic
Doctor:infectious causes
Doctor:Genetic basis
User:my parents dont have any thyroid problems
Doctor:It is not always hereditary
User:why does thyroid become overactive
User:sorry lot of why? tyoe of questions
Doctor:It is fine
Doctor:Thyroid becomes over active when there is increased demand by the body
Doctor:like in pregnancy
Doctor:when in stress
Doctor:sometimes it just remains at that high
Doctor:also in infections the hormonal levels increase
User:does this not get controlled when infections go out of the body
User:i mean the hormone levels
Doctor:No, sometimes it remains high
Doctor:The feedback mechanism is lost
Doctor:More and more thyroid hormones are produced
User:is this fully curable without surgery?
User:or only controlled with medicines
Doctor:Yes, it is possible
User:Is having TSH less than.01 XXXXXXX ?
Doctor:It is not very XXXXXXX
Doctor:though it is not a good value
Doctor:a value of 0.3 is more appreciated
User:I did this test 4 weeks ago.Will that hold good ? or should i check it again
Doctor:NO need to repeat the test again
Doctor:you may repeat it after 6 months
User:are t3 t4 mandatory
User:will the specialist recomend
Doctor:Yes, the specialist will recommend them if required
User:is there anything that you want to suggest to me ?
User:is there a cure thru yoga apart from medicines?
Doctor:Please start taking the anti-thyroid drugs at the earliest
Doctor:Yoga acts as an adjunct
Doctor:Yes, it will help
User:do u recommend any asana?
Doctor:Please continue to do it
User:in particular
Doctor:I am sorry, I have no idea about it
User:thanks doctor...
User:as of now i have exhausted all my queries.Will be intouch
User:hope thecustcare team would send me the details of the endocrinologist
Doctor:Yes sure
Doctor:They will guide you
Doctor:Thanks for consulting me
Doctor:Bye for now
Doctor:This is Dr XXXXXXX
Doctor:How can I help you?
Doctor:Are you there?
User:sorry madam,came back to take notes o n the chat that i had previously
Doctor:Sure, no problem
User:thanks a lot ...Dr XXXXXXX answered all my questions
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