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Can A Doctor Detect Grave's Disease Through Blood Testing?

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Posted on Mon, 21 Sep 2015
Question: Hi My Name is XXXXXXX ive. Been To The Hospital Because i was experiencing Chest pains ....The Noticed in my EKG That i had a Heart Arrhythmia but Further Test Came Back Normal im Getting A Little Discouraged About Finding whats Qribg...my Left Eye Twitchs and also ny right hand i have a swollen thyroid Gland and sharp chest pains. They haven't diagnosed me with anything But Could This Be Graves Disease?
can a doctor detect graves disease through blood testing
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I recommend performing some blood lab tests and radiological tests

Detailed Answer:
Hello XXXXX!

Thank you for asking on HCM!

I read your question carefully and understand your concern.

Your symptoms could be related to Graves disease. This is one of the main causes of cardiac arrhythmia in young persons.

I recommend consulting with an endocrinologist and perform a careful physical examination of your neck and some blood lab tests like :
-levels of TSH, T3, and free T4
-Thyroid stimulating immunoglobulin (TSI)
-Thyroid peroxidase (TPO) antibody
-Anti-TSH receptor antibody.


Further radiological tests are needed to confirm this diagnosis:

-Thyroid gland ultrasound
-Radioactive iodine uptake and scan
-Orbit CT scan or ultrasound (this is an autoimmune disorder affecting the periorbital muscles as well).

I recommend to closely monitor your blood pressure and heart rate (it is known to be associated to high blood pressure and tachycardia, including cardiac arrhythmia).

I recommend discussing with your attending physician on the above issues.

Hope to have been helpful!

Feel free to ask any other questions whenever you need!

Best regards,

Dr. Iliri



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (2 minutes later)
this was my results for the tsh is it high?
doctor
Answered by Dr. Ilir Sharka (7 minutes later)
Brief Answer:
I recommend to continue with the other above mentioned tests

Detailed Answer:
Dear XXXX!

Your TSH levels seem to be within the normal levels (although I don't understand the test result table, because it seems to be an urinary test for toxic substances and not a blood test).

You should know that in Graves syndrome TSH is too low, because of the high levels of T3 and T4, which suppress its production (they are produced from the thyroid, while TSH is produced by the pituitary gland in your brain).

These values are low in your case, but not below the lower limits.

I recommend to continue with the other above mentioned tests to rule in/out this possible diagnosis.

Hope to have been helpful!

Greetings!

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (5 minutes later)
is it fatal like could i die from this?
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
No substantial risks to your health, if properly managed.

Detailed Answer:

Hi again!

I would explain that Graves' disease, if properly diagnosed and treated, would not impose any dangerous risks to your health. So, just relax!

First, we haven't yet enough data to support such a hypothesis. That's why you need to proceed with the recommended tests.

It is necessary to discuss with your endocrinologist to help you guide through the diagnostic process.

Best regards,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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Can A Doctor Detect Grave's Disease Through Blood Testing?

Brief Answer: I recommend performing some blood lab tests and radiological tests Detailed Answer: Hello XXXXX! Thank you for asking on HCM! I read your question carefully and understand your concern. Your symptoms could be related to Graves disease. This is one of the main causes of cardiac arrhythmia in young persons. I recommend consulting with an endocrinologist and perform a careful physical examination of your neck and some blood lab tests like : -levels of TSH, T3, and free T4 -Thyroid stimulating immunoglobulin (TSI) -Thyroid peroxidase (TPO) antibody -Anti-TSH receptor antibody. Further radiological tests are needed to confirm this diagnosis: -Thyroid gland ultrasound -Radioactive iodine uptake and scan -Orbit CT scan or ultrasound (this is an autoimmune disorder affecting the periorbital muscles as well). I recommend to closely monitor your blood pressure and heart rate (it is known to be associated to high blood pressure and tachycardia, including cardiac arrhythmia). I recommend discussing with your attending physician on the above issues. Hope to have been helpful! Feel free to ask any other questions whenever you need! Best regards, Dr. Iliri