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Hypothyroidism, 2 months old - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi Sir, my daughter is of 2 months old and she has been tested and confirmed of HypoThyroid and the doctors are saying she has to take Thyroxin replacement tablet daily
Also the doctors told thyroid gland got struck and may not come down. Is it mandatory that she has to take Thyroxin tablets daily through out her life? But the regular blood tests are showing that her TSH levels are coming down as expected but the doctor is expecting to come it down even fast.
Could you please address my concern?
Many many thanks in advance.
Doctor :   let me read your query
User :   Hi Sir
User :   yes pls
Doctor :   since her current status shows low thyroid , she will need thyroid medications to allow proper development of the brain and the body
User :   its not actually low
Doctor :   she will have to be regularly checked with blood tests for thyroid levels
User :   its high
User :   last test says her TSH is 16.5
User :   but the doc is saying it has to come down below 10
Doctor :   sorry, i meant low thyroid function, not low TSH
User :   but its definitely coming down for every test
User :   so how can one confirm that she has to take Thyroxin
User :   i am not able to understand
Doctor :   It will come down as she is being treated , isnt this right ?
User :   nope
User :   doc has just told to start medication
Doctor :   ok
User :   but many teste which have been conducted before revealed that TSH is coming down
User :   pls find the results below
Doctor :   may i know what was the test level done first ?
User :   1st Test -- 25.2
Doctor :   and what is the latest level ?
User :   2nd test -- 22
User :   3rd test--18
User :   4th test -- 16.5
User :   all these tests were done without medication
User :   latest is 16.5
User :   we are yet to start medication
Doctor :   please note, the normal levels of TSH is 0.4 to 4.5
User :   is it for kids also?
Doctor :   even in the levels mentioned , the TSH levels are excesively high
Doctor :   yes
User :   i mean the 0.4-4.5 applies to kids?
User :   k
Doctor :   YES the levels i mentioned is for kids
User :   but i heard once we start taking thyroxin its life long treatment
Doctor :   if such high levels of TSH, are persistant, it will cause mental retardation in kids
Doctor :   THE thyroid hormones are normally produced in the body
User :   this fact of life long treatment or medication is really scaring me
Doctor :   but if there is less production, it results in high TSH LEVELS
Doctor :   AND based on the levels of thyroid hormones, the level of TSH will be high
User :   will there be aa case like after 2-3 yrs of medication every thing gets right and we can stop medication for the kid?
User :   true
User :   i can understand
Doctor :   yes, that chance will be there
User :   but the doc said the gland has got struck under tongue
Doctor :   your doctors were trying to wiat for the function to improve
Doctor :   that is fine ,
User :   but in some cases i heard it will come down slowly as the kid grows
Doctor :   over time, it may come down ,
User :   is it true?
User :   k
Doctor :   even if it does not come down, it will not matter
User :   how safe is going for nuclear scan for the baby repeatedly?
Doctor :   as it will not cause any abnormality
User :   k
Doctor :   in nuclear scan, there is not much damage as there is a minimum exposure of radiation
User :   but what my doubt is with every test we can see the TSH level coming down
Doctor :   and here a injection of the isotope is given IV and they are non toxic
User :   so do we need start medication without bothering about the fact that the TSH is coming down
User :   though not as fast as the doc is expecting
Doctor :   please understand, the TSH decreased, as they thyroid gland incrreased its capacity to increase hormone production due to the excess levels of TSH
Doctor :   BUT Once the max capacity of the gland reached , the levels of TSH has stabilised
Doctor :   and since the gland is not meeting the requirement, your kid needs external supplementation
Doctor :   yes you need not bother about the TSH levels coming down, as they are still very very high
Doctor :   and she definitely need thyroid medications
User :   k
Doctor :   i hope u have understood my advice
User :   but there is a definite chance of kid getting recovered with proper medication
User :   for some time may be for some yrs right?
Doctor :   over time once your kid recovers, the need for medications may come down
User :   ya
Doctor :   and it may be stopped after a few years
User :   ohh great
User :   this was what i was expecting
Doctor :   BUT YOU NEED TO KNOW THIS, that you need not worry about continuing the medication to any length of time
User :   can this be heriditary?
User :   i mean spreading to next generation from my kid?
Doctor :   no
Doctor :   not really
Doctor :   this is a congenital abnormality due to thyroid gland not developing properly
User :   i am asking bcos none of us (on both sides) have this thyroid issue
User :   all off a sudden it came for my daughter
Doctor :   this is not a heriditary case in your daughter
Doctor :   and hence it will not be trasnferred to her kids in future
User :   great
User :   right now the doc has suggested
User :   Thyroxin of 25mcg dose
User :   but when i went to other docto for 2nd opinion
Doctor :   ok
Doctor :   thank you for consulting me here
Doctor :   take care and bye for now
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