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Guidance on the thyroid report - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   hi
Doctor :   Dr.XXXhere
User :   Hello
Doctor :   please proceed with your health query
User :   Am XXX here
Doctor :   how can I help you?
User :   i have done a thyroid test recently and i can see my TSH value as 0.31 against the range 0.35-5.50
User :   is this something to worry about?
User :   My moher is a thyroid patient,if am not wrong she had hyper and did the surgery two couple of months back
Doctor :   it is a little low than teh normal range. how rae the T3 and T4 levels?
Doctor :   what symptoms do you have at present?
User :   T3 and t4 are in the normal range
User :   tiredness, not energetic,,leg pain only left leg (could be coz of my wieght 70Kg and 5.4" height)
Doctor :   increased weight and low TSH could be related indicating hyperthyroidism since you also have family history of it
Doctor :   get your free T3 and free T4 levels checked which give accurate results of free hormones in blood
User :   checked my T3 and T4 along with that? or should i go ahead and check this again.
User :   T3 and T4 level are in the mormal range
Doctor :   you need to check this again along with TSH as these are free hormone check and the previous ones are the ones that are bound to carrying proteins
Doctor :   so the free ones will give better indication of the hormones
Doctor :   if these are increased with TSH being low, it will confirm that you are having hyperthyroid changes
Doctor :   and will further need a thyroid scan to be done
User :   oh ok, so whats the test name...can i ask about the free T3& free T4 tests?
Doctor :   yes you need to ask for this. where did you get the previous one done?
User :   XXX, XXX through healthcare magic only
User :   I am a mother of 3.8yr old and planning for a second baby also. will this affect my pregnancy?
Doctor :   yes, it can affect your pregnancy. wait until they are controlled.
Doctor :   and then plan your next pregnancy.
Doctor :   you can get them done again
Doctor :   or contact Mr. XXXfrom Healthcaremagic to get this done at the same place or through any other agency.
User :   ok. Then i will go to the lab and do my free T3 and T4 tests along with the TSH. Yes, I know XXX.Will have a contact with him.
Doctor :   sure he will help you out with this.
User :   Thanks Doctor.
Doctor :   is there anything else I can help you with?
User :   Ihave one more query for my daughter
Doctor :   sure please proceed
User :   she is getting this throat infection very often and docotr prescribing Taxim-o anitbiotics everytime
Doctor :   ok. please describe her symptoms in detail.
User :   I can say mostly every month or once in two months along with the fever
Doctor :   does these increase if she is in dusty environment?
Doctor :   does she have these more often when there is season changes?
User :   Sometimes it will be cold+fever+cough
Doctor :   is there sore throat or or tonsillitis or adenoiditis diagnosed?
User :   may be fever for a day and i will give her calpol syrup and it will go...
Doctor :   ok
Doctor :   please answer my above questions.
User :   not yet diagnosed....last week when she had docotr told its throat infection and kind of tonsilities since she had throat pain also
Doctor :   ok
User :   She goes to play school and i cannot say its a dusty envrionemnet too
Doctor :   are her symptoms worse in dusty environment or when there is season changes?
User :   yes, observed that during the season changes
Doctor :   ok
Doctor :   I would first recommend you to give her Vit-C supplements or a multivitamin with all in it.
User :   ok, is this ok to give Taxim-O for her very often
User :   ?
User :   Sure,i will start with a Vit-C supplements
Doctor :   yes it is fine to give her, provided she is finishing the entire course of 5 days
User :   ok
Doctor :   keep her away from cold stuffs and water
Doctor :   see how hse improves with daily 3-4 times of dress changes and 2 times of bedspread changes
Doctor :   if it is allergic she will show good improvement.
User :   ok
Doctor :   also consider getting her blood tests done. if the
Doctor :   if the eiosinophil count comes more then another test should be done known as AEC counts or absolute eiosinophil count
User :   Blood routine? done that once when she had this fever and infection and found that WBC count is more, and i was told it could be becos of the infection
Doctor :   also an allergic patch test to see if the recurrent symptoms are due to the allergy to identify what is causative agent
Doctor :   in the WBC count, there is a differential counts done to see various components of it
User :   she had a UTI problem before and was under Phexin anitbiotics for 2 months
Doctor :   and if it shows eosinophils to be increased then allergic phenomenon can be suspected for her recurrent symptoms
Doctor :   ok
User :   So can i go ahead and take the tests now itself ?
Doctor :   yes you can. usually when she is having the episode it will give conclusive results
User :   Is ther eany specific tests or can i go ahead for the Blood routine test for her to find out the eosinophils?
Doctor :   it blooid routine test. you can ask for a complete hemogram.
User :   ok
User :   Thanks a lot Docotor for your time.
Doctor :   is there anything else you would like to ask me?
User :   No thanks.
Doctor :   thanks for consulting me. bye for now.
User :   Nice talking with you
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