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Lifestyle modifications for hypothyroidism - 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 : 2005
Answered : 2569 Questions
Doctor :   Hi
User :   hi
Doctor :   Iam.Dr.XXX
User :   hi dr.XXX
Doctor :   May i help you ?
Doctor :   hi
User :   howz u
Doctor :   iam fine
Doctor :   howru?
User :   m gud
User :   doctor actually i m a thyroid patient since 4 years
Doctor :   ok
Doctor :   May i know your age?
User :   means i got to know that i have thyroid around 4 years back
Doctor :   ok
User :   26 years
Doctor :   Are you on any medicines?
Doctor :   oh very young..
User :   ya i m taking
User :   thyrox 50mg
User :   and eltroxin 100 mg
Doctor :   is it at early morning
Doctor :   with out food
User :   ya
Doctor :   ok
User :   and in weekends i m taking 200 mg
Doctor :   so you had hypothyroidism
Doctor :   or less functioning of your thyroid gland
Doctor :   ok
Doctor :   Did you gain weight these days?
Doctor :   HOW is your sleep?
User :   i m feeling slleepy too much
User :   and gaining weight also
Doctor :   ok
Doctor :   it can come from the lack of thyroid hormone
Doctor :   do you feel cold?
Doctor :   are you overweight?
User :   cold i m not feeling
User :   ya i m around 85
User :   my hight is around5'11
Doctor :   ok
Doctor :   what was the reason for thyroid test?
Doctor :   Worldwide, iodine deficiency remains the foremost cause of hypothyroidism.
User :   that time i have gained weight too much
User :   and there were some swalling in my throt also
Doctor :   ok
User :   so one doctor has suggested me to do the test
Doctor :   was fnac done?
User :   and that tym it was too much high
Doctor :   TSH assays are readily available and are generally the most sensitive screening tool for primary hypothyroidism.
User :   ok
User :   when i tested first time that time my TSH was More than 150
Doctor :   was FNAC done?
Doctor :   ok thats is too much
User :   fnac means
Doctor :   Fine-needle aspiration biopsy
User :   no
Doctor :   Fine-needle aspiration (FNA) biopsy is the procedure of choice to evaluate suspicious nodules.
User :   i didn't did that
Doctor :   ok
User :   so wat u suggest
User :   as i didn't did the regular test also from last 1 year
Doctor :   when was your last TSH test done?
Doctor :   what was the value
User :   last was a year back
User :   and that time TSH was86
Doctor :   now you are on medicines is nt?
User :   i m taking
User :   same medicines
Doctor :   that has to come down further
Doctor :   If you are being treated for a thyroid disorder, your TSH level should be between 0.5 and 3.0 mIU/L.
Doctor :   The treatment goals for hypothyroidism are the reversal of clinical progression and the corrections of metabolic derangements as evidenced by normal blood levels of TSH and free T4.
Doctor :   Therapy for hypothyroidism is monitored at approximately six week intervals until stable.
Doctor :   The goal is to maintain the TSH within normal limits.
Doctor :   Once stable, the TSH can be checked yearly.
Doctor :   Over-treating hypothyroidism with excessive thyroid medication is potentially
Doctor :   harmful and can cause problems with heart palpitations and blood pressure contro
Doctor :   Are you there?
Doctor :   Did you understand what i said?
User :   ya doctor
Doctor :   You anyway need to get TSH CHECKED IMMEDIATELY
Doctor :   now
Doctor :   as you are on medicines
User :   ok
Doctor :   and try to get the level between .5-4
User :   ok
Doctor :   because
User :   is there any way so that i can show u my reports
Doctor :   yes you can mail me at XXX
Doctor :   a scanned copy
Doctor :   or your typed note pad document
Doctor :   Untreated hypothyroidism may have severe effects on the brain as well as cause intestinal obstruction and inability of the heart to beat effectively.
Doctor :   since you are already feeling sleepy and dull
User :   ok
Doctor :   you might need an increase of medicine if reqd
Doctor :   after TSH test
User :   ok
Doctor :   Once appropriate therapeutic dose is obtained
Doctor :   you can be monitored annually or semiannually with
Doctor :   laboratory evaluation and physical examination.
Doctor :   Dont take iron, calcium carbonate, aluminum hydroxide etc with thyroxine
Doctor :   since it can decrease it s absorption
Doctor :   Did you understand what i said?
User :   ya
Doctor :   you might also require life long thyroxine therapy
User :   life long
User :   :(
Doctor :   yes sometimes
User :   ok
User :   i m worried about my wight
Doctor :   yes.that will improve with your TSH levels
Doctor :   what you need is good TSH values
Doctor :   Certain foods and fluids are extremely injurious for thyroid patients and should be avoided
Doctor :   These include white flour products, white sugar, flesh foods, fried or greasy foods, preserves, condiments, tea, coffee and alcohol.
Doctor :   Avoid cabbages,cauliflower etc..
Doctor :   TAKE LOTS OF
Doctor :   ginger tea, raw fruits and vegetables
Doctor :   Avoid dairy and wheat products
Doctor :   Avoid salty foods
Doctor :   Are you there?
User :   ok
User :   means i shuld left alcohal also
User :   which intake too much
Doctor :   yes you should reduce it
User :   ok
Doctor :   sea foods are rich in iodine you may add that to diet
Doctor :   Vitamin B complex is useful in treating thyroid conditions
Doctor :   Drink lots of water, and eat iodine rich foods and vegetables such as kelp, fish, shellfish, and seaweeds.
Doctor :   Include foods rich in vitamin A, like yellow vegetables, eggs, carrots, and dark green leafy vegetables in your diet to help boost the thyroid.
Doctor :   Avoid stimulants such as coffee, tea, and soda. Cut simple carbohydrates like cookies,
candy, cakes, pies, ice cream etc.
Doctor :   So try all these also
Doctor :   Is there anything else i can help you with now?
Doctor :   Thanks for consulting.............
User :   thanku
Doctor :   Are you there?
User :   ya ya
Doctor :   Thankyou....
Doctor :   Bye for now......
User :   bbye
Doctor :   Take care.....
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