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What does these thyroid test indicate? - Online Doctor Chats

Date : 13-Apr-2014
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
Doctor:Hi there!
Doctor:How can I help you?
User:Hello
User:this query is for my mother - 62yrs
User:we recently did a thyroid test. resutls are
User:TSH 8.51, T3 1.32, T4 7.74
Doctor:Hi, i remember. I asked you to get those labs done right?
User:The TSH test was done first and on the advice of HCM doctor (over chat) did T3, T4
User:yes you did.
User:thanks
Doctor:Very good, you got them!
User:yes - but what does this mean? Can TSH be high and T3, T4 be normal?
Doctor:Do you happen to have the orig report? Can you upload?
User:sure
Doctor:Yes it certainly can, it simply means the Thyroid is having to work extra hard to maintain normal output
User:oh ok
User:uploaded
Doctor:one moment, looking at report
User:ok
Doctor:so this one does not have the t3 and t4? is that on another page?
User:yes that is seperate. uploading in a min
Doctor:sure
User:uploaded
Doctor:Ok. here we are
Doctor:Yes.. Now forgive me if i already asked this last time.. but is your mother overweight?
User:I dont know her weight exactly but she is a bit fat
User:wt 65 kgs, height 5ft
Doctor:Ok. That makes sense.. Every single cell in our body needs thyroid hormone to function and regulate its metabolism
Doctor:The more fat we have... the higher the damnd on the thyroid..
User:ok
Doctor:demand*
User:ok
Doctor:What these tests indicate to me is that she is currently in a state where the thyroid is just beginning to feel the strain of excess demand and the central nervous system is stimulating it a bit more to make sure that it puts out enough hormone.
User:ok
Doctor:In the end.. it all depends on her clinical symptoms.. Has she been having symptoms of hypothyroidism? (feeling cold, lethargic, shivering, low pulse or BP, excessive sweating, fatigue, tremors.. anything like that)?
User:feeling cold - she generally feels cold, even earlier. lethargic and fatigue - yes, low BP, sweating - no
User:she says she gets a throat block when she talks a lot of laughs.. not sure if that is connected
Doctor:Ohh, ok.. she feels a lump in her throat?
Doctor:Ok. At this point I think she needs to be started on a very low dose of synthroid and she needs to be seen by an endocrinologist for an evaluation and an ultrasound (to see what that lump is about)
Doctor:The endocrinologist will be able to physically examine her and decide WHAT dose of synthroid is appropriate.
User:ok.
User:is this a starting stage or has it been for sometime?
Doctor:One can never say exactly when these things start, the body has quite a bit of redundant capacity
User:ok
User:let me take her to an endocrinologist
Doctor:I think that is a good idea
User:ok thank you for the advice. appreciate it.
Doctor:Always happy to help!
Doctor:Take care!
User:thank you
Doctor:Bye!
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